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 $1,621.81 / $1,949.84 / $2,951.21	Professional		$1,621.81	$1,949.84	$2,951.21
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 $1,778.28 / $2,290.87 / $3,548.13	Professional		$1,778.28	$2,290.87	$3,548.13
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 $16,218.10 / $16,218.10 / $16,218.10	Professional		$16,218.10	$16,218.10	$16,218.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $5,623.41	Facility		$1,513.56	$2,454.71	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,090.30	Professional		$1,659.59	$2,290.87	$3,090.30
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 / $2,238.72 / $4,073.80	Facility		$1,698.24	$2,238.72	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,548.13	Professional		$1,659.59	$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 $1,380.38 / $1,905.46 / $2,951.21	Professional		$1,380.38	$1,905.46	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80