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 $758.58 / $954.99 / $1,348.96	Professional		$758.58	$954.99	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,630.27	Facility		$645.65	$1,122.02	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,202.26	Professional		$691.83	$891.25	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,949.84	Professional		$812.83	$1,174.90	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $5,128.61	Facility		$794.33	$1,318.26	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,288.25	Professional		$758.58	$1,000.00	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,137.96	Facility		$812.83	$1,122.02	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,905.46	Professional		$776.25	$1,148.15	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,168.69	Facility		$436.52	$1,819.70	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,513.56	Professional		$741.31	$954.99	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Professional		$691.83	$691.83	$776.25