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 $912.01 / $1,071.52 / $1,479.11	Professional		$912.01	$1,071.52	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $6,025.60	Facility		$1,023.29	$1,737.80	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,479.11	Professional		$870.96	$1,096.48	$1,479.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,089.30	Professional		$1,000.00	$1,288.25	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,128.31 / $8,128.31	Professional		$6,760.83	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,454.71 / $8,511.38	Facility		$977.24	$2,454.71	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,513.56	Professional		$954.99	$1,174.90	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,290.87	Facility		$870.96	$1,174.90	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,089.30	Professional		$933.25	$1,288.25	$2,089.30
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 $812.83 / $1,071.52 / $1,698.24	Professional		$812.83	$1,071.52	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $912.01	Professional		$831.76	$831.76	$912.01