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 / $1,949.84 / $2,884.03	Professional		$1,659.59	$1,949.84	$2,884.03
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 $1,778.28 / $2,290.87 / $3,715.35	Professional		$1,778.28	$2,290.87	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $48,977.88	Facility		$54.95	$56.23	$48,977.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $6,025.60	Facility		$1,548.82	$2,511.89	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,951.21	Professional		$1,659.59	$2,238.72	$2,951.21
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 $1,778.28 / $2,344.23 / $4,073.80	Facility		$1,778.28	$2,344.23	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,715.35	Professional		$1,659.59	$2,290.87	$3,715.35
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 $1,584.89 / $1,584.89 / $1,737.80	Professional		$1,584.89	$1,584.89	$1,737.80