Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,730.00 / $9,897.00	Facility		$1,002.00	$3,730.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,159.45 / $2,113.10	Professional		$1,016.00	$1,159.45	$2,113.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,354.26 / $1,354.26 / $1,354.26	Professional		$1,354.26	$1,354.26	$1,354.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,137.88 / $1,888.64 / $8,528.21	Facility		$1,137.88	$1,888.64	$8,528.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.09 / $1,263.67 / $1,880.26	Professional		$943.09	$1,263.67	$1,880.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $996.36 / $996.36 / $996.36	Facility		$996.36	$996.36	$996.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.63 / $1,587.57 / $2,412.82	Professional		$1,161.63	$1,587.57	$2,412.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,161.53	Facility		$55.00	$55.00	$9,161.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,300.40 / $8,553.12 / $9,720.90	Professional		$8,300.40	$8,553.12	$9,720.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.79 / $1,492.27 / $2,488.42	Facility		$1,117.79	$1,492.27	$2,488.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.73 / $1,716.81 / $2,019.78	Professional		$1,458.73	$1,716.81	$2,019.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.79 / $1,498.31 / $2,972.46	Facility		$1,117.79	$1,498.31	$2,972.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,161.63 / $1,619.77 / $2,517.94	Professional		$1,161.63	$1,619.77	$2,517.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $939.44 / $1,275.21 / $2,060.21	Professional		$939.44	$1,275.21	$2,060.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $957.68 / $1,095.34 / $1,509.58	Professional		$957.68	$1,095.34	$1,509.58