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 $1,288.25 / $1,513.56 / $2,238.72	Professional		$1,288.25	$1,513.56	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,041.74	Professional		$1,202.26	$1,445.44	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,884.03	Professional		$1,380.38	$1,819.70	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,904.51	Facility		$54.95	$56.23	$38,904.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $18,197.01	Professional		$16,982.44	$16,982.44	$18,197.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $5,128.61	Facility		$1,230.27	$1,995.26	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,290.87	Professional		$1,288.25	$1,737.80	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,162.28	Facility		$1,380.38	$1,862.09	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,884.03	Professional		$1,288.25	$1,778.28	$2,884.03
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 $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Professional		$1,230.27	$1,230.27	$1,348.96