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 $1,096.48 / $1,288.25 / $1,949.84	Professional		$1,096.48	$1,288.25	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Professional		$1,023.29	$1,288.25	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,630.27	Professional		$1,174.90	$1,584.89	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $5,128.61	Facility		$1,023.29	$1,819.70	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,862.09	Professional		$1,096.48	$1,445.44	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,754.23	Facility		$1,148.15	$1,584.89	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,511.89	Professional		$1,096.48	$1,584.89	$2,511.89
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 $954.99 / $1,288.25 / $1,995.26	Professional		$954.99	$1,288.25	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,122.02	Professional		$1,000.00	$1,000.00	$1,122.02