Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,715.19	Facility		$10,000.00	$10,000.00	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $18,620.87	Professional		$7,585.78	$10,232.93	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $22,908.68 / $22,908.68	Facility		$79.43	$22,908.68	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $11,748.98	Professional		$8,511.38	$8,511.38	$11,748.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $87,096.36 / $87,096.36	Facility		$87,096.36	$87,096.36	$87,096.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112,201.85 / $128,824.96 / $128,824.96	Professional		$112,201.85	$128,824.96	$128,824.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $16,982.44 / $26,915.35	Facility		$8,912.51	$16,982.44	$26,915.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $19,952.62	Professional		$7,762.47	$10,232.93	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $17,378.01	Professional		$16,982.44	$16,982.44	$17,378.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $16,595.87 / $28,183.83	Facility		$8,912.51	$16,595.87	$28,183.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $11,748.98	Professional		$8,511.38	$8,511.38	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $19,498.45	Facility		$6,456.54	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $13,182.57	Professional		$7,079.46	$10,715.19	$13,182.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Professional		$22,908.68	$22,908.68	$22,908.68