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 $1,174.90 / $1,412.54 / $2,089.30	Professional		$1,174.90	$1,412.54	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,905.46	Professional		$1,096.48	$1,380.38	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,818.38	Professional		$1,258.93	$1,698.24	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,791.08	Facility		$54.95	$56.23	$14,791.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $5,128.61	Facility		$1,096.48	$1,905.46	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,995.26	Professional		$1,174.90	$1,548.82	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,818.38	Facility		$1,258.93	$1,698.24	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,754.23	Professional		$1,174.90	$1,698.24	$2,754.23
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 $1,023.29 / $1,380.38 / $2,137.96	Professional		$1,023.29	$1,380.38	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26