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 $1,698.24 / $2,398.83 / $3,388.44	Professional		$1,698.24	$2,398.83	$3,388.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $4,365.16	Professional		$2,041.74	$2,691.53	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,904.51	Facility		$54.95	$56.23	$38,904.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $18,620.87 / $18,620.87	Professional		$15,135.61	$18,620.87	$18,620.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $6,025.60	Facility		$1,584.89	$2,691.53	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,548.13	Professional		$2,137.96	$2,754.23	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $4,786.30	Facility		$1,778.28	$2,570.40	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,073.80	Professional		$1,905.46	$2,630.27	$4,073.80
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 $1,698.24 / $2,187.76 / $3,548.13	Professional		$1,698.24	$2,187.76	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,137.96	Professional		$1,905.46	$1,905.46	$2,137.96