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 / $13,489.63	Facility		$1,000.00	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,041.74	Professional		$1,174.90	$1,348.96	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $5,248.07	Facility		$1,258.93	$2,137.96	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,862.09	Professional		$1,071.52	$1,380.38	$1,862.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,630.27	Professional		$1,230.27	$1,621.81	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $5,128.61	Facility		$1,122.02	$1,862.09	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,089.30	Professional		$1,174.90	$1,584.89	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,818.38	Facility		$1,230.27	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,570.40	Professional		$1,174.90	$1,621.81	$2,570.40
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 $977.24 / $1,318.26 / $2,041.74	Professional		$977.24	$1,318.26	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Professional		$1,122.02	$1,122.02	$1,230.27