Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $3,792.00 / $13,004.00	Facility		$1,198.00	$3,792.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.84 / $1,215.89 / $1,386.92	Professional		$996.84	$1,215.89	$1,386.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,414.39 / $1,414.39 / $1,414.39	Professional		$1,414.39	$1,414.39	$1,414.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,260.35 / $7,830.90 / $16,347.90	Facility		$4,260.35	$7,830.90	$16,347.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $5,281.41 / $5,281.41 / $5,281.41	Facility		$5,281.41	$5,281.41	$5,281.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,369.18 / $5,369.18 / $5,369.18	Facility		$5,369.18	$5,369.18	$5,369.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,182.73 / $2,182.73 / $2,182.73	Professional		$2,182.73	$2,182.73	$2,182.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,440.60 / $21,215.80 / $21,215.80	Facility		$8,440.60	$21,215.80	$21,215.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,003.36 / $9,868.87 / $11,115.15	Professional		$8,003.36	$9,868.87	$11,115.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.89 / $1,425.21 / $3,590.12	Facility		$1,215.89	$1,425.21	$3,590.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.47 / $5,306.00 / $6,634.00	Professional		$1,307.47	$5,306.00	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,112.78 / $1,484.09 / $3,590.12	Facility		$1,112.78	$1,484.09	$3,590.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.16 / $1,307.47 / $2,306.12	Professional		$420.16	$1,307.47	$2,306.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.93 / $1,550.42 / $2,448.98	Professional		$1,062.93	$1,550.42	$2,448.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,724.64 / $4,724.64 / $6,378.28	Professional		$4,724.64	$4,724.64	$6,378.28