Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.04 / $14.04	Professional		$11.23	$14.04	$14.04
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 $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
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 $78.59 / $78.59 / $78.59	Professional		$78.59	$78.59	$78.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $42.00	Facility		$25.00	$25.00	$42.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $30.64	Professional		$25.00	$25.00	$30.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $35.75	Facility		$25.00	$25.00	$35.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Professional		$128.79	$128.79	$128.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $23.80	Professional		$23.80	$23.80	$23.80