Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.44 / $211.44 / $228.35	Facility		$211.44	$211.44	$228.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.31 / $228.35 / $422.87	Professional		$199.31	$228.35	$422.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.88 / $342.88 / $342.88	Professional		$342.88	$342.88	$342.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.83 / $229.83 / $287.55	Professional		$229.83	$229.83	$287.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $482.93 / $482.93 / $482.93	Facility		$482.93	$482.93	$482.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $327.20	Professional		$238.86	$238.86	$327.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,220.15 / $2,460.44 / $2,460.44	Facility		$2,220.15	$2,460.44	$2,460.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,766.09 / $2,766.09 / $3,140.93	Professional		$2,766.09	$2,766.09	$3,140.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $362.57 / $482.93	Facility		$134.88	$362.57	$482.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $434.64 / $482.93	Professional		$136.40	$434.64	$482.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $327.20 / $482.93	Facility		$134.88	$327.20	$482.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $398.61	Professional		$238.86	$238.86	$398.61
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $278.57 / $321.95	Facility		$160.97	$278.57	$321.95
United Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $257.57 / $321.24	Professional		$174.11	$257.57	$321.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $257.30 / $482.93	Professional		$253.42	$257.30	$482.93