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 / $1,584.89	Professional		$912.01	$1,071.52	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,445.44	Professional		$831.76	$1,000.00	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,995.26	Professional		$954.99	$1,288.25	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,943.28 / $7,943.28	Professional		$6,456.54	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $5,128.61	Facility		$912.01	$1,548.82	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,187.76	Facility		$933.25	$1,288.25	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,949.84	Professional		$912.01	$1,258.93	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,698.24	Professional		$794.33	$1,096.48	$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