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 $851.14 / $1,047.13 / $1,513.56	Professional		$851.14	$1,047.13	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,905.46	Professional		$912.01	$1,230.27	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,585.78 / $7,585.78	Professional		$6,165.95	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $5,128.61	Facility		$870.96	$1,445.44	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,479.11	Professional		$870.96	$1,148.15	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,089.30	Facility		$870.96	$1,230.27	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,862.09	Professional		$870.96	$1,202.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,584.89	Professional		$776.25	$1,023.29	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Professional		$794.33	$794.33	$870.96