Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.80 / $320.80 / $346.46	Facility		$320.80	$320.80	$346.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.80 / $346.46 / $641.60	Professional		$320.80	$346.46	$641.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $520.23 / $520.23 / $520.23	Professional		$520.23	$520.23	$520.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.29 / $436.29 / $436.29	Professional		$436.29	$436.29	$436.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $732.72 / $732.72 / $732.72	Facility		$732.72	$732.72	$732.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $564.36	Professional		$411.98	$411.98	$564.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,490.81 / $3,722.67 / $3,722.67	Facility		$3,490.81	$3,722.67	$3,722.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,773.79 / $3,773.79 / $5,012.47	Professional		$3,773.79	$3,773.79	$5,012.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $550.10 / $732.72	Facility		$215.25	$550.10	$732.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $659.45 / $732.72	Professional		$217.68	$659.45	$732.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $550.10 / $732.72	Facility		$215.25	$550.10	$732.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $581.29	Professional		$411.98	$411.98	$581.29
United Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $411.04 / $509.03	Professional		$277.85	$411.04	$509.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $424.98 / $732.72	Professional		$404.41	$424.98	$732.72