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 $1,380.38 / $1,621.81 / $2,454.71	Professional		$1,380.38	$1,621.81	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,187.76	Professional		$1,258.93	$1,621.81	$2,187.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,090.30	Professional		$1,445.44	$1,949.84	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $16,595.87	Professional		$12,589.25	$12,589.25	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $5,248.07	Facility		$1,288.25	$2,187.76	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,398.83	Professional		$1,380.38	$1,862.09	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,311.31	Facility		$1,479.11	$1,949.84	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,019.95	Professional		$1,380.38	$1,905.46	$3,019.95
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 $1,202.26 / $1,548.82 / $2,454.71	Professional		$1,202.26	$1,548.82	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Professional		$1,288.25	$1,288.25	$1,412.54