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 $2,089.30 / $2,398.83 / $3,715.35	Professional		$2,089.30	$2,398.83	$3,715.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,570.88	Professional		$2,187.76	$2,951.21	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $61,659.50	Facility		$54.95	$56.23	$61,659.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Professional		$24,547.09	$24,547.09	$24,547.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $6,165.95	Facility		$1,737.80	$2,951.21	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,630.78	Professional		$2,089.30	$2,818.38	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $5,128.61	Facility		$2,137.96	$2,884.03	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,570.88	Professional		$2,089.30	$2,884.03	$4,570.88
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 $1,819.70 / $2,398.83 / $3,801.89	Professional		$1,819.70	$2,398.83	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96