Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.94 / $698.94 / $754.85	Facility		$698.94	$698.94	$754.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.94 / $754.85 / $1,397.87	Professional		$698.94	$754.85	$1,397.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,197.31 / $1,197.31 / $1,197.31	Professional		$1,197.31	$1,197.31	$1,197.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.74 / $950.55 / $950.55	Professional		$759.74	$950.55	$950.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,596.41 / $1,596.41 / $1,596.41	Facility		$1,596.41	$1,596.41	$1,596.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $886.63	Facility		$886.63	$886.63	$886.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $886.63	Professional		$647.24	$647.24	$886.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.81 / $7,396.37 / $7,396.37	Facility		$2,667.81	$7,396.37	$7,396.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,010.83 / $8,010.83 / $11,624.25	Professional		$8,010.83	$8,010.83	$11,624.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,112.55 / $1,596.41	Facility		$457.00	$1,112.55	$1,596.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $1,468.70 / $1,596.41	Professional		$462.16	$1,468.70	$1,596.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,066.68 / $1,596.41	Facility		$457.00	$1,066.68	$1,596.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $647.24 / $945.19	Professional		$647.24	$647.24	$945.19
United Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $872.66 / $1,066.68	Professional		$589.91	$872.66	$1,066.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.60 / $954.08 / $1,596.41	Professional		$858.60	$954.08	$1,596.41