Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.83 / $4.76	Facility		$1.14	$1.83	$4.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.14	Professional		$1.14	$1.14	$1.14
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 $14.40 / $14.40 / $14.40	Professional		$14.40	$14.40	$14.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $67.50	Facility		$50.00	$50.00	$67.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $80.00	Facility		$50.00	$50.00	$80.00
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 $43.92 / $43.92 / $59.29	Professional		$43.92	$43.92	$59.29