Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $12,882.50	Facility		$1,023.29	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,905.46	Professional		$891.25	$1,096.48	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $9,120.11	Facility		$2,691.53	$4,897.79	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,344.23	Professional		$1,071.52	$1,288.25	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,023.29	Facility		$79.43	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,995.26	Professional		$1,071.52	$1,348.96	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $33,884.42 / $33,884.42	Facility		$11,220.18	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,772.37 / $9,772.37	Professional		$8,317.64	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $5,128.61	Facility		$977.24	$1,380.38	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,905.46	Professional		$954.99	$1,318.26	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,862.09	Facility		$977.24	$1,230.27	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,137.96	Professional		$1,071.52	$1,445.44	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,737.80	Professional		$891.25	$1,202.26	$1,737.80
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