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 $1,159.52 / $1,159.52 / $1,159.52	Professional		$1,159.52	$1,159.52	$1,159.52
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 $42.79 / $42.79 / $70.15	Facility		$42.79	$42.79	$70.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $197.12	Facility		$100.00	$100.00	$197.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $253.44 / $253.44	Professional		$253.44	$253.44	$253.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $14.19	Facility		$5.00	$5.00	$14.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $14.19	Facility		$5.00	$5.00	$14.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $376.00 / $507.60	Professional		$376.00	$376.00	$507.60