Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Facility		$3,500.00	$3,500.00	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $115.91 / $337.57	Professional		$111.45	$115.91	$337.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $14.34 / $47.78	Professional		$12.19	$14.34	$47.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $87.63	Professional		$73.14	$73.14	$87.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $376.05 / $528.34 / $528.34	Facility		$376.05	$528.34	$528.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.48 / $785.20 / $852.08	Professional		$778.48	$785.20	$852.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $110.72 / $164.57	Facility		$70.28	$110.72	$164.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $117.55 / $320.98	Facility		$73.54	$117.55	$320.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.62 / $93.62 / $93.62	Professional		$93.62	$93.62	$93.62
United Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $121.62 / $180.99	Professional		$103.12	$121.62	$180.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $69.66 / $97.90	Professional		$67.05	$69.66	$97.90