Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $10,000.00	Facility		$1,318.26	$3,162.28	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,398.83	Professional		$1,318.26	$1,698.24	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $10,000.00	Facility		$1,445.44	$1,698.24	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,388.44	Professional		$2,238.72	$2,691.53	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $4,168.69	Facility		$1,318.26	$2,238.72	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,398.83	Professional		$1,380.38	$1,905.46	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $5,623.41	Facility		$1,318.26	$2,238.72	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $4,168.69	Professional		$79.43	$2,238.72	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $2,238.72	Facility		$794.33	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,238.72	Professional		$933.25	$933.25	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,238.72	Professional		$1,513.56	$1,513.56	$2,238.72