Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
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 Facility Modifier Low / Median / High Price $29.40 / $29.40 / $64.00	Facility		$29.40	$29.40	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $242.05 / $242.05 / $251.73	Professional		$242.05	$242.05	$251.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $445.63	Facility		$157.00	$157.00	$445.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $445.63	Facility		$157.00	$157.00	$445.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $14.49	Professional		$10.73	$10.73	$14.49