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 $707.95 / $870.96 / $1,445.44	Professional		$707.95	$870.96	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,174.90	Professional		$707.95	$891.25	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $794.33 / $812.83	Facility		$79.43	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,584.89	Professional		$831.76	$1,047.13	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $33,884.42 / $33,884.42	Facility		$7,244.36	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,762.47 / $7,762.47	Professional		$6,456.54	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $5,128.61	Facility		$794.33	$1,096.48	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,513.56	Professional		$758.58	$1,071.52	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $1,445.44	Facility		$758.58	$954.99	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,659.59	Professional		$831.76	$1,096.48	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,348.96	Professional		$691.83	$933.25	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33