Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $275.42	Professional		$144.54	$186.21	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,585.78 / $13,182.57	Facility		$3,548.13	$7,585.78	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,023.29	Professional		$389.05	$489.78	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $3,890.45	Facility		$177.83	$309.03	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $309.03	Professional		$144.54	$186.21	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $213.80 / $398.11	Facility		$102.33	$213.80	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $512.86 / $1,023.29	Professional		$87.10	$512.86	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $446.68	Professional		$223.87	$295.12	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03