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 $1,288.25 / $1,513.56 / $2,290.87	Professional		$1,288.25	$1,513.56	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,884.03	Professional		$1,348.96	$1,778.28	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,848.93	Facility		$54.95	$56.23	$15,848.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $5,248.07	Facility		$1,174.90	$1,995.26	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,187.76	Professional		$1,288.25	$1,698.24	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,090.30	Facility		$1,288.25	$1,737.80	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,818.38	Professional		$1,258.93	$1,778.28	$2,818.38
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 $1,122.02 / $1,513.56 / $2,290.87	Professional		$1,122.02	$1,513.56	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25