Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.56 / $440.16 / $992.55	Facility		$407.56	$440.16	$992.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.95 / $432.05 / $815.11	Professional		$374.95	$432.05	$815.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.93 / $660.93 / $660.93	Professional		$660.93	$660.93	$660.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.01 / $443.01 / $554.27	Professional		$443.01	$443.01	$554.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $930.88 / $930.88 / $930.88	Facility		$930.88	$930.88	$930.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $527.25	Professional		$384.89	$384.89	$527.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.55 / $3,676.89 / $4,451.75	Facility		$1,654.55	$3,676.89	$4,451.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,607.85 / $4,607.85 / $5,281.80	Professional		$4,607.85	$4,607.85	$5,281.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.39 / $698.86 / $930.88	Facility		$226.39	$698.86	$930.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $752.16 / $930.88	Professional		$228.94	$752.16	$930.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.39 / $559.65 / $930.88	Facility		$226.39	$559.65	$930.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $658.62	Professional		$384.89	$384.89	$658.62
United Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $432.30 / $540.37	Professional		$292.23	$432.30	$540.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $426.28 / $930.88	Professional		$425.34	$426.28	$930.88