Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,022.64	Facility		$1,096.48	$3,890.45	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,290.87	Professional		$1,318.26	$1,621.81	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,548.82	Professional		$1,230.27	$1,258.93	$1,548.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,548.13	Professional		$1,380.38	$1,949.84	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,481.54 / $11,481.54	Professional		$9,332.54	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $7,943.28	Facility		$1,096.48	$2,290.87	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,290.87	Professional		$1,318.26	$1,778.28	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,715.35	Facility		$1,318.26	$1,778.28	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $3,467.37	Professional		$1,288.25	$1,905.46	$3,467.37
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 $1,230.27 / $1,737.80 / $2,630.27	Professional		$1,230.27	$1,737.80	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Professional		$1,230.27	$1,230.27	$1,348.96