Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,019.95 / $8,317.64	Facility		$812.83	$3,019.95	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,344.23	Professional		$724.44	$954.99	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $933.25	Professional		$363.08	$416.87	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $5,495.41	Facility		$1,513.56	$2,630.27	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,479.11	Professional		$776.25	$977.24	$1,479.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,023.29	Facility		$741.31	$741.31	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,698.24	Professional		$851.14	$1,122.02	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $28,840.32 / $28,840.32	Facility		$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $3,715.35	Facility		$741.31	$1,096.48	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,089.30	Professional		$758.58	$1,122.02	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Facility		$741.31	$1,000.00	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,819.70	Professional		$870.96	$1,174.90	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,380.38	Professional		$707.95	$954.99	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00