Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $363.60	Facility		$42.00	$50.00	$363.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $48.00 / $360.00	Professional		$33.81	$48.00	$360.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $250.00 / $385.00	Professional		$210.00	$250.00	$385.00
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 $240.00 / $350.00 / $492.50	Professional		$240.00	$350.00	$492.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $227.00 / $270.00	Facility		$105.00	$227.00	$270.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,798.00 / $3,798.00	Professional		$2,880.00	$3,798.00	$3,798.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $5,350.00 / $6,105.00	Facility		$52.50	$5,350.00	$6,105.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $4,750.00 / $6,105.00	Facility		$53.13	$4,750.00	$6,105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $350.00 / $475.00	Professional		$250.00	$350.00	$475.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $97.36 / $97.36	Professional		$97.36	$97.36	$97.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $282.80	Professional		$202.00	$202.00	$282.80