Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.56 / $340.56 / $367.80	Facility		$340.56	$340.56	$367.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $367.80 / $681.12	Professional		$340.56	$367.80	$681.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.28 / $552.28 / $552.28	Professional		$552.28	$552.28	$552.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.16 / $463.16 / $463.16	Professional		$463.16	$463.16	$463.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $777.86 / $777.86 / $777.86	Facility		$777.86	$777.86	$777.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $373.72	Professional		$373.72	$373.72	$373.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,937.24 / $4,487.66 / $4,487.66	Facility		$3,937.24	$4,487.66	$4,487.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,534.89 / $4,534.89 / $5,392.13	Professional		$4,534.89	$4,534.89	$5,392.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.22 / $542.08 / $777.86	Facility		$228.22	$542.08	$777.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.79 / $700.07 / $797.99	Professional		$230.79	$700.07	$797.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.22 / $519.73 / $777.86	Facility		$228.22	$519.73	$777.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $663.51	Professional		$373.72	$373.72	$663.51
United Facility/Professional Professional Modifier Low / Median / High Price $294.58 / $435.79 / $532.62	Professional		$294.58	$435.79	$532.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.77 / $564.58 / $777.86	Professional		$428.77	$564.58	$777.86