Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.68 / $195.68 / $211.33	Facility		$195.68	$195.68	$211.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.68 / $211.33 / $391.35	Professional		$195.68	$211.33	$391.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $317.33 / $317.33	Professional		$317.33	$317.33	$317.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $266.12 / $266.12	Professional		$212.70	$266.12	$266.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $446.94 / $446.94 / $446.94	Facility		$446.94	$446.94	$446.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $209.36	Professional		$209.36	$209.36	$209.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $746.91 / $2,070.19 / $2,070.19	Facility		$746.91	$2,070.19	$2,070.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.21 / $2,238.21 / $3,254.25	Professional		$2,238.21	$2,238.21	$3,254.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $335.54 / $446.94	Facility		$127.91	$335.54	$446.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $402.25 / $446.94	Professional		$129.36	$402.25	$446.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $298.64 / $446.94	Facility		$127.91	$298.64	$446.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $360.78	Professional		$209.36	$209.36	$360.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $244.25 / $298.52	Professional		$165.11	$244.25	$298.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $267.12 / $446.94	Professional		$240.32	$267.12	$446.94