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 $1,000.00 / $1,148.15 / $1,737.80	Professional		$1,000.00	$1,148.15	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,584.89	Professional		$912.01	$1,148.15	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,238.72	Professional		$1,047.13	$1,412.54	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $5,128.61	Facility		$1,000.00	$1,659.59	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,737.80	Professional		$1,000.00	$1,318.26	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,398.83	Facility		$1,047.13	$1,412.54	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,137.96	Professional		$1,000.00	$1,380.38	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $22,908.68	Facility		$4,365.16	$10,715.19	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,778.28	Professional		$851.14	$1,122.02	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29