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 $2,290.87 / $2,630.27 / $3,981.07	Professional		$2,290.87	$2,630.27	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,332.54	Facility		$2,454.71	$4,073.80	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,548.13	Professional		$2,089.30	$2,630.27	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,897.79	Professional		$2,398.83	$3,162.28	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $67,608.30	Facility		$54.95	$56.23	$67,608.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $27,542.29	Professional		$25,703.96	$25,703.96	$27,542.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $6,760.83	Facility		$1,819.70	$3,235.94	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,981.07	Professional		$2,290.87	$3,090.30	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $5,754.40	Facility		$2,454.71	$3,235.94	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,897.79	Professional		$2,290.87	$3,090.30	$4,897.79
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 $1,949.84 / $2,570.40 / $4,073.80	Professional		$1,949.84	$2,570.40	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23