Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $16,218.10	Facility		$1,148.15	$4,265.80	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,778.28	Professional		$1,023.29	$1,202.26	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $5,623.41	Facility		$1,202.26	$2,454.71	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,659.59	Professional		$954.99	$1,202.26	$1,659.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,344.23	Professional		$1,096.48	$1,445.44	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $8,912.51	Professional		$7,413.10	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,548.13 / $12,882.50	Facility		$1,000.00	$3,548.13	$12,882.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,819.70	Professional		$1,047.13	$1,318.26	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,511.89	Facility		$954.99	$1,288.25	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,290.87	Professional		$1,000.00	$1,445.44	$2,290.87
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 $912.01 / $1,202.26 / $1,862.09	Professional		$912.01	$1,202.26	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00