Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $102.03 / $110.19	Facility		$102.03	$102.03	$110.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $110.19 / $204.05	Professional		$102.03	$110.19	$204.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $165.45 / $165.45	Professional		$165.45	$165.45	$165.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $110.90 / $138.75	Professional		$110.90	$110.90	$138.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $233.03 / $233.03 / $233.03	Facility		$233.03	$233.03	$233.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $175.58	Professional		$128.16	$128.16	$175.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $434.50 / $1,083.05 / $1,083.05	Facility		$434.50	$1,083.05	$1,083.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.72 / $1,269.72 / $1,654.35	Professional		$1,269.72	$1,269.72	$1,654.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $162.40 / $233.03	Facility		$67.15	$162.40	$233.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $209.73 / $256.51	Professional		$67.91	$209.73	$256.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $166.78 / $233.03	Facility		$67.15	$166.78	$233.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $187.18	Professional		$128.16	$128.16	$187.18
United Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $128.22 / $156.72	Professional		$86.69	$128.22	$156.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $137.44 / $233.03	Professional		$126.17	$137.44	$233.03