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 $165.96 / $199.53 / $288.40	Professional		$165.96	$199.53	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,022.64 / $23,442.29	Facility		$6,456.54	$12,022.64	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $257.04	Professional		$147.91	$186.21	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $371.54	Professional		$169.82	$234.42	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $41,686.94	Facility		$54.95	$56.23	$41,686.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $870.96 / $6,760.83	Facility		$181.97	$870.96	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $758.58	Professional		$165.96	$208.93	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $467.74	Facility		$165.96	$239.88	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $371.54	Professional		$169.82	$234.42	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $302.00	Professional		$141.25	$194.98	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $154.88	Professional		$141.25	$141.25	$154.88