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 $1,023.29 / $1,202.26 / $1,778.28	Professional		$1,023.29	$1,202.26	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,897.79	Facility		$1,096.48	$1,862.09	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,621.81	Professional		$954.99	$1,122.02	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,290.87	Professional		$1,096.48	$1,412.54	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $5,128.61	Facility		$1,000.00	$1,698.24	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,819.70	Professional		$1,023.29	$1,380.38	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,454.71	Facility		$1,096.48	$1,445.44	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,187.76	Professional		$1,047.13	$1,412.54	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United 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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,071.52	Professional		$977.24	$977.24	$1,071.52