Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.30 / $139.30 / $150.44	Facility		$139.30	$139.30	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $150.44 / $278.58	Professional		$133.11	$150.44	$278.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.66 / $267.66 / $267.66	Professional		$267.66	$267.66	$267.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $189.44 / $189.44	Professional		$151.41	$189.44	$189.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $318.16 / $318.16 / $318.16	Facility		$318.16	$318.16	$318.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $174.77	Professional		$127.58	$127.58	$174.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $675.48 / $1,528.02 / $1,771.42	Facility		$675.48	$1,528.02	$1,771.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.48 / $2,186.73 / $2,186.73	Professional		$2,135.48	$2,186.73	$2,186.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $221.71 / $318.16	Facility		$90.08	$221.71	$318.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $286.33 / $372.93	Professional		$91.10	$286.33	$372.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $212.57 / $318.16	Facility		$90.08	$212.57	$318.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $186.32	Professional		$127.58	$127.58	$186.32
United Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $172.01 / $213.96	Professional		$116.28	$172.01	$213.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $170.68 / $318.16	Professional		$169.24	$170.68	$318.16