Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $10.60	Facility		$5.00	$5.00	$10.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $10.60	Facility		$5.00	$5.00	$10.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $6.31	Professional		$4.51	$4.51	$6.31