Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.11 / $303.11 / $327.35	Facility		$303.11	$303.11	$327.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.11 / $327.35 / $606.21	Professional		$303.11	$327.35	$606.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $491.54 / $491.54	Professional		$491.54	$491.54	$491.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.48 / $412.22 / $412.22	Professional		$329.48	$412.22	$412.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $692.31 / $692.31 / $692.31	Facility		$692.31	$692.31	$692.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $432.60	Professional		$315.80	$315.80	$432.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,605.80 / $3,692.36 / $3,692.36	Facility		$3,605.80	$3,692.36	$3,692.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,596.99 / $4,596.99 / $5,284.28	Professional		$4,596.99	$4,596.99	$5,284.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.98 / $482.48 / $692.31	Facility		$222.98	$482.48	$692.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.49 / $636.92 / $692.31	Professional		$225.49	$636.92	$692.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.98 / $462.58 / $692.31	Facility		$222.98	$462.58	$692.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $461.17	Professional		$315.80	$315.80	$461.17
United Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $456.41 / $532.23	Facility		$260.79	$456.41	$532.23
United Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $425.78 / $520.39	Professional		$287.83	$425.78	$520.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $420.80 / $692.31	Professional		$418.93	$420.80	$692.31