Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,467.37 / $10,471.29	Professional		$1,071.52	$3,467.37	$10,471.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $977.24 / $2,089.30	Facility		$537.03	$977.24	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $10,471.29	Facility		$977.24	$3,715.35	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $8,912.51	Professional		$1,000.00	$2,754.23	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,202.26 / $1,288.25	Facility		$398.11	$1,202.26	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $4,168.69	Facility		$416.87	$1,621.81	$4,168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02