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 $1,819.70 / $2,089.30 / $3,090.30	Professional		$1,819.70	$2,089.30	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,884.03	Professional		$1,698.24	$2,089.30	$2,884.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,168.69	Professional		$1,949.84	$2,570.40	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,113.11	Facility		$54.95	$56.23	$33,113.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $15,848.93 / $15,848.93	Professional		$12,882.50	$15,848.93	$15,848.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $6,918.31	Facility		$1,096.48	$2,570.40	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,090.30	Professional		$1,819.70	$2,398.83	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $4,365.16	Facility		$1,819.70	$2,398.83	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,981.07	Professional		$1,819.70	$2,511.89	$3,981.07
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 $1,548.82 / $2,137.96 / $3,311.31	Professional		$1,548.82	$2,137.96	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,862.09	Professional		$1,659.59	$1,659.59	$1,862.09