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 $1,949.84 / $2,290.87 / $3,311.31	Professional		$1,949.84	$2,290.87	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,162.28	Professional		$1,819.70	$2,290.87	$3,162.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,168.69	Professional		$2,089.30	$2,754.23	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $58,884.37	Facility		$54.95	$56.23	$58,884.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Professional		$22,387.21	$22,387.21	$22,387.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $6,025.60	Facility		$1,737.80	$2,818.38	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,467.37	Professional		$1,995.26	$2,630.27	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,786.30	Facility		$1,995.26	$2,691.53	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,073.80	Professional		$1,995.26	$2,754.23	$4,073.80
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 $1,659.59 / $2,187.76 / $3,467.37	Professional		$1,659.59	$2,187.76	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Professional		$1,862.09	$1,862.09	$2,041.74