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 $1,258.93 / $1,479.11 / $2,187.76	Professional		$1,258.93	$1,479.11	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $13,803.84	Facility		$1,348.96	$2,290.87	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,041.74	Professional		$1,174.90	$1,479.11	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,818.38	Professional		$1,318.26	$1,737.80	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $5,128.61	Facility		$1,202.26	$1,995.26	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,238.72	Professional		$1,258.93	$1,698.24	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,019.95	Facility		$1,318.26	$1,737.80	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,818.38	Professional		$1,258.93	$1,737.80	$2,818.38
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 $1,071.52 / $1,412.54 / $2,187.76	Professional		$1,071.52	$1,412.54	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26