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 / $12,302.69	Facility		$1,000.00	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,162.28	Professional		$1,819.70	$2,041.74	$3,162.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,981.07	Professional		$1,905.46	$2,511.89	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $53,703.18	Facility		$54.95	$56.23	$53,703.18
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 $1,621.81 / $2,630.27 / $6,025.60	Facility		$1,621.81	$2,630.27	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,162.28	Professional		$1,819.70	$2,344.23	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,128.61	Facility		$1,905.46	$2,570.40	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,890.45	Professional		$1,778.28	$2,511.89	$3,890.45
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 $1,548.82 / $2,041.74 / $3,235.94	Professional		$1,548.82	$2,041.74	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,862.09	Professional		$1,698.24	$1,698.24	$1,862.09