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 $2,630.27 / $3,019.95 / $4,466.84	Professional		$2,630.27	$3,019.95	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,168.69	Professional		$2,398.83	$3,019.95	$4,168.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $5,754.40	Professional		$2,754.23	$3,630.78	$5,754.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56,234.13	Facility		$54.95	$56.23	$56,234.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $25,703.96	Professional		$25,703.96	$25,703.96	$25,703.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $6,918.31	Facility		$1,819.70	$3,548.13	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $4,570.88	Professional		$2,630.27	$3,548.13	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $6,309.57	Facility		$2,630.27	$3,467.37	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $5,623.41	Professional		$2,511.89	$3,630.78	$5,623.41
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 $2,238.72 / $3,019.95 / $4,677.35	Professional		$2,238.72	$3,019.95	$4,677.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,691.53	Professional		$2,454.71	$2,454.71	$2,691.53