Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $4,167.75	Facility		$750.00	$750.00	$4,167.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.98 / $323.79 / $718.85	Facility		$166.98	$323.79	$718.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $91.25 / $91.25	Professional		$91.25	$91.25	$91.25
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 $2,117.16 / $2,117.16 / $2,117.16	Professional		$2,117.16	$2,117.16	$2,117.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.65 / $2,117.16 / $2,187.02	Professional		$1,487.65	$2,117.16	$2,187.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,173.96 / $4,173.96 / $4,173.96	Facility		$4,173.96	$4,173.96	$4,173.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,117.16 / $2,117.16 / $2,117.16	Professional		$2,117.16	$2,117.16	$2,117.16
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00