Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,047.13	Facility		$977.24	$977.24	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,949.84	Professional		$851.14	$1,096.48	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $2,290.87	Facility		$79.43	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $19,054.61 / $19,054.61	Professional		$12,302.69	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,089.30 / $3,388.44	Facility		$616.60	$2,089.30	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,511.89	Professional		$870.96	$1,148.15	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $3,162.28	Facility		$912.01	$1,862.09	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $2,187.76	Facility		$724.44	$1,412.54	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,445.44	Professional		$794.33	$1,202.26	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87