Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,742.00 / $10,836.00	Facility		$969.00	$3,742.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,307.77 / $3,797.15 / $4,538.52	Professional		$3,307.77	$3,797.15	$4,538.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,683.05 / $4,683.05 / $4,683.05	Professional		$4,683.05	$4,683.05	$4,683.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,094.81 / $3,094.81 / $3,094.81	Facility		$3,094.81	$3,094.81	$3,094.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,490.98 / $4,636.20 / $7,667.16	Professional		$3,490.98	$4,636.20	$7,667.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $97,763.38	Facility		$55.00	$55.00	$97,763.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,599.20 / $24,209.60 / $28,840.65	Professional		$23,599.20	$24,209.60	$28,840.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,236.16 / $4,144.49 / $7,641.05	Facility		$3,236.16	$4,144.49	$7,641.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,243.72 / $4,896.62 / $5,712.72	Professional		$4,243.72	$4,896.62	$5,712.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,307.77 / $4,156.83 / $7,821.27	Facility		$3,307.77	$4,156.83	$7,821.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,490.98 / $4,746.64 / $8,499.76	Professional		$3,490.98	$4,746.64	$8,499.76
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,876.49 / $3,858.47 / $6,112.54	Professional		$2,876.49	$3,858.47	$6,112.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,786.08 / $3,193.15 / $4,360.08	Professional		$2,786.08	$3,193.15	$4,360.08