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 $1,513.56 / $1,737.80 / $2,630.27	Professional		$1,513.56	$1,737.80	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $6,456.54	Facility		$1,621.81	$2,754.23	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,398.83	Professional		$1,380.38	$1,778.28	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,388.44	Professional		$1,584.89	$2,089.30	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $36,307.81	Facility		$54.95	$56.23	$36,307.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Professional		$18,197.01	$18,197.01	$18,197.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $5,623.41	Facility		$1,445.44	$2,238.72	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,691.53	Professional		$1,513.56	$2,089.30	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,630.78	Facility		$1,584.89	$2,089.30	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,311.31	Professional		$1,513.56	$2,089.30	$3,311.31
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 $1,318.26 / $1,737.80 / $2,691.53	Professional		$1,318.26	$1,737.80	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Professional		$1,445.44	$1,445.44	$1,584.89