Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $208.93	Facility		$194.98	$194.98	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $371.54	Professional		$190.55	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $346.74	Professional		$213.80	$213.80	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $457.09 / $457.09	Facility		$79.43	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Professional		$208.93	$208.93	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $3,235.94	Professional		$2,238.72	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $436.52 / $660.69	Facility		$128.82	$436.52	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $436.52	Professional		$194.98	$234.42	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $630.96	Facility		$194.98	$363.08	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Professional		$208.93	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $457.09	Facility		$147.91	$295.12	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $302.00	Professional		$165.96	$245.47	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09