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 $3,388.44 / $3,981.07 / $5,754.40	Professional		$3,388.44	$3,981.07	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,248.07	Professional		$3,090.30	$3,890.45	$5,248.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $7,585.78	Professional		$3,548.13	$4,677.35	$7,585.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $100,000.00	Facility		$54.95	$56.23	$100,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $29,512.09 / $29,512.09	Professional		$23,988.33	$29,512.09	$29,512.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $7,943.28	Facility		$1,096.48	$3,890.45	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $5,011.87	Professional		$3,311.31	$3,801.89	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,754.23	Professional		$32.36	$33.11	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $8,128.31	Facility		$3,311.31	$4,466.84	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $7,244.36	Professional		$3,311.31	$4,677.35	$7,244.36
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 $2,951.21 / $3,981.07 / $6,025.60	Professional		$2,951.21	$3,981.07	$6,025.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,388.44	Professional		$3,090.30	$3,090.30	$3,388.44