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 $1,659.59 / $1,995.26 / $3,548.13	Professional		$1,659.59	$1,995.26	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,630.27	Professional		$1,548.82	$1,949.84	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,801.89	Professional		$1,737.80	$2,290.87	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $39,810.72	Facility		$54.95	$56.23	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,511.89 / $6,918.31	Facility		$1,096.48	$2,511.89	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,548.13	Professional		$1,659.59	$2,238.72	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,981.07	Facility		$1,698.24	$2,290.87	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,548.13	Professional		$1,621.81	$2,290.87	$3,548.13
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 $1,445.44 / $1,905.46 / $2,951.21	Professional		$1,445.44	$1,905.46	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24