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 $691.83 / $1,949.84 / $2,398.83	Professional		$691.83	$1,949.84	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,549.93 / $18,197.01	Facility		$4,466.84	$9,549.93	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
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 $2,238.72 / $2,344.23 / $9,332.54	Professional		$2,238.72	$2,344.23	$9,332.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Facility		$19,952.62	$19,952.62	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $15,848.93 / $15,848.93	Professional		$14,454.40	$15,848.93	$15,848.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,290.87 / $4,677.35	Facility		$660.69	$2,290.87	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $2,398.83	Professional		$1,000.00	$2,137.96	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,238.72 / $3,890.45	Facility		$676.08	$2,238.72	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $9,332.54	Professional		$1,698.24	$2,290.87	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,513.56 / $2,951.21	Professional		$616.60	$1,513.56	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $2,570.40	Professional		$2,398.83	$2,570.40	$2,570.40