Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,596.00 / $12,281.00	Facility		$1,068.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.89 / $1,915.82 / $2,458.67	Professional		$1,594.89	$1,915.82	$2,458.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,100.21 / $2,100.21 / $2,100.21	Professional		$2,100.21	$2,100.21	$2,100.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,603.33 / $2,029.43 / $2,827.45	Professional		$1,603.33	$2,029.43	$2,827.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,496.82 / $1,496.82 / $1,496.82	Facility		$1,496.82	$1,496.82	$1,496.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.18 / $2,288.29 / $3,473.25	Professional		$1,750.18	$2,288.29	$3,473.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,553.04 / $12,882.80 / $14,585.25	Professional		$12,553.04	$12,882.80	$14,585.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,679.73 / $1,969.62 / $3,762.09	Facility		$1,679.73	$1,969.62	$3,762.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.44 / $2,583.88 / $3,039.86	Professional		$2,195.44	$2,583.88	$3,039.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,679.73 / $2,011.61 / $4,469.84	Facility		$1,679.73	$2,011.61	$4,469.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,750.18 / $2,303.13 / $3,629.50	Professional		$1,750.18	$2,303.13	$3,629.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,958.00 / $13,134.00	Facility		$2,093.00	$5,958.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,417.02 / $1,948.41 / $3,011.18	Professional		$1,417.02	$1,948.41	$3,011.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,441.35 / $1,639.12 / $2,279.73	Professional		$1,441.35	$1,639.12	$2,279.73