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 $2,089.30 / $2,454.71 / $3,630.78	Professional		$2,089.30	$2,454.71	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,309.57 / $44,668.36	Facility		$1,778.28	$6,309.57	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,311.31	Professional		$1,949.84	$2,454.71	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,570.88	Professional		$2,089.30	$2,884.03	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $50,118.72	Facility		$54.95	$56.23	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Professional		$19,054.61	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $6,025.60	Facility		$1,659.59	$2,884.03	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,630.78	Professional		$2,089.30	$2,884.03	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $5,128.61	Facility		$1,995.26	$2,691.53	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,466.84	Professional		$1,995.26	$2,884.03	$4,466.84
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 $1,737.80 / $2,398.83 / $3,630.78	Professional		$1,737.80	$2,398.83	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,187.76	Professional		$1,995.26	$1,995.26	$2,187.76