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 $1,412.54 / $1,698.24 / $2,454.71	Professional		$1,412.54	$1,698.24	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,187.76	Professional		$1,288.25	$1,584.89	$2,187.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,162.28	Professional		$1,479.11	$1,995.26	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,378.01	Facility		$54.95	$56.23	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,302.69 / $12,302.69	Professional		$10,232.93	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $5,495.41	Facility		$1,230.27	$2,137.96	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,398.83	Professional		$1,412.54	$1,862.09	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,467.37	Facility		$1,380.38	$1,905.46	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,162.28	Professional		$1,380.38	$1,995.26	$3,162.28
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 $1,230.27 / $1,659.59 / $2,570.40	Professional		$1,230.27	$1,659.59	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Professional		$1,288.25	$1,288.25	$1,412.54