Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $14,454.40	Facility		$1,174.90	$3,981.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,187.76	Professional		$1,202.26	$1,412.54	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,905.46	Professional		$1,122.02	$1,412.54	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,630.27	Professional		$1,258.93	$1,659.59	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,488.17	Facility		$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $10,471.29	Professional		$8,912.51	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $7,413.10	Facility		$1,122.02	$1,995.26	$7,413.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,884.03	Facility		$1,202.26	$1,659.59	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Professional		$1,202.26	$1,659.59	$2,570.40
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 $1,023.29 / $1,348.96 / $2,137.96	Professional		$1,023.29	$1,348.96	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15