Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $190.13 / $205.34	Facility		$190.13	$190.13	$205.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $202.13 / $380.25	Professional		$164.29	$202.13	$380.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.73 / $325.69 / $325.69	Professional		$258.73	$325.69	$325.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $232.71 / $258.57	Professional		$206.67	$232.71	$258.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $434.25 / $434.25 / $434.25	Facility		$434.25	$434.25	$434.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $203.51	Professional		$148.56	$148.56	$203.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $661.15 / $1,717.84 / $2,062.69	Facility		$661.15	$1,717.84	$2,062.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,162.57 / $2,162.57 / $2,527.19	Professional		$2,162.57	$2,162.57	$2,527.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $302.63 / $434.25	Facility		$104.90	$302.63	$434.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $367.22 / $434.25	Professional		$106.08	$367.22	$434.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $290.14 / $434.25	Facility		$104.90	$290.14	$434.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $216.96	Professional		$148.56	$148.56	$216.96
United Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $200.30 / $249.14	Professional		$135.40	$200.30	$249.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $197.18 / $434.25	Professional		$197.15	$197.18	$434.25