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 $724.44 / $912.01 / $7,943.28	Professional		$724.44	$912.01	$7,943.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $19,498.45	Facility		$5,128.61	$9,549.93	$19,498.45
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 Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
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 $5,754.40 / $7,413.10 / $7,413.10	Professional		$5,754.40	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $6,606.93	Facility		$851.14	$1,348.96	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $7,943.28	Professional		$691.83	$912.01	$7,943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $6,606.93	Facility		$776.25	$1,096.48	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,659.59	Professional		$776.25	$1,047.13	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90