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 $1,148.15 / $1,348.96 / $1,995.26	Professional		$1,148.15	$1,348.96	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $5,248.07	Facility		$1,258.93	$2,137.96	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,778.28	Professional		$1,047.13	$1,258.93	$1,778.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,630.27	Professional		$1,202.26	$1,621.81	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
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 $1,047.13 / $1,862.09 / $5,128.61	Facility		$1,047.13	$1,862.09	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,905.46	Professional		$1,148.15	$1,479.11	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $912.01	Professional		$32.36	$33.11	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,818.38	Facility		$1,148.15	$1,584.89	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,454.71	Professional		$1,122.02	$1,621.81	$2,454.71
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 $1,000.00 / $1,348.96 / $2,089.30	Professional		$1,000.00	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,148.15	Professional		$1,023.29	$1,023.29	$1,148.15