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 $912.01 / $1,096.48 / $1,621.81	Professional		$912.01	$1,096.48	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $4,073.80	Facility		$812.83	$1,258.93	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,412.54	Professional		$831.76	$1,023.29	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,089.30	Professional		$977.24	$1,288.25	$2,089.30
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 $933.25 / $1,584.89 / $5,128.61	Facility		$933.25	$1,584.89	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,187.76	Facility		$954.99	$1,348.96	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,089.30	Professional		$912.01	$1,288.25	$2,089.30
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 $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $933.25	Professional		$831.76	$831.76	$933.25