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 $1,548.82 / $1,819.70 / $2,691.53	Professional		$1,548.82	$1,819.70	$2,691.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,388.44	Professional		$1,621.81	$2,187.76	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $27,542.29	Facility		$54.95	$56.23	$27,542.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,489.63 / $13,489.63	Professional		$10,964.78	$13,489.63	$13,489.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $6,025.60	Facility		$1,348.96	$2,398.83	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,630.27	Professional		$1,548.82	$2,041.74	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,715.35	Facility		$1,621.81	$2,187.76	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,311.31	Professional		$1,548.82	$2,187.76	$3,311.31
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 $1,348.96 / $1,819.70 / $2,818.38	Professional		$1,348.96	$1,819.70	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82