Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.85 / $162.85 / $396.50	Facility		$162.85	$162.85	$396.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $175.88 / $325.70	Professional		$162.84	$175.88	$325.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $264.10 / $264.10	Professional		$264.10	$264.10	$264.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $221.48 / $221.48	Professional		$177.02	$221.48	$221.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.97 / $371.97 / $371.97	Facility		$371.97	$371.97	$371.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $174.73	Professional		$174.73	$174.73	$174.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $621.58 / $1,722.99 / $1,722.99	Facility		$621.58	$1,722.99	$1,722.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.87 / $1,862.87 / $2,708.48	Professional		$1,862.87	$1,862.87	$2,708.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $279.25 / $371.97	Facility		$106.46	$279.25	$371.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $342.21 / $371.97	Professional		$107.66	$342.21	$371.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $248.53 / $371.97	Facility		$106.46	$248.53	$371.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $300.27	Professional		$174.73	$174.73	$300.27
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $203.29 / $248.53	Professional		$137.41	$203.29	$248.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $222.31 / $371.97	Professional		$200.01	$222.31	$371.97