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 / $3,311.31	Professional		$1,698.24	$2,398.83	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,365.16	Professional		$2,041.74	$2,630.27	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $18,197.01 / $18,197.01	Professional		$14,791.08	$18,197.01	$18,197.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $6,025.60	Facility		$1,548.82	$2,630.27	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,548.13	Professional		$2,089.30	$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 $1,737.80 / $2,511.89 / $4,677.35	Facility		$1,737.80	$2,511.89	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,981.07	Professional		$1,905.46	$2,570.40	$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 $1,584.89 / $2,089.30 / $3,467.37	Professional		$1,584.89	$2,089.30	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,089.30	Professional		$1,905.46	$1,905.46	$2,089.30