Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.24 / $503.24 / $543.49	Facility		$503.24	$503.24	$543.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $544.66 / $1,006.47	Professional		$503.24	$544.66	$1,006.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $862.06 / $862.06 / $862.06	Professional		$862.06	$862.06	$862.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.02 / $547.02 / $684.40	Professional		$547.02	$547.02	$684.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,006.47 / $1,006.47 / $1,149.41	Facility		$1,006.47	$1,006.47	$1,149.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $895.43	Facility		$895.43	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $895.43	Professional		$653.66	$653.66	$895.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,325.48 / $5,814.95 / $5,814.95	Facility		$2,325.48	$5,814.95	$5,814.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,083.01 / $6,228.99 / $9,386.78	Professional		$6,083.01	$6,228.99	$9,386.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $822.66 / $1,149.41	Facility		$359.09	$822.66	$1,149.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.15 / $1,057.46 / $1,201.58	Professional		$363.15	$1,057.46	$1,201.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $822.66 / $1,149.41	Facility		$359.09	$822.66	$1,149.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $951.04	Professional		$653.66	$653.66	$951.04
United Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $685.70 / $851.18	Professional		$463.53	$685.70	$851.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.65 / $686.95 / $1,149.41	Professional		$674.65	$686.95	$1,149.41