Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
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 $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 $0.91 / $0.91 / $0.91	Professional		$0.91	$0.91	$0.91
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 $187.52 / $187.52 / $187.52	Facility		$187.52	$187.52	$187.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $100.82 / $100.82	Professional		$100.82	$100.82	$100.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $187.52	Facility		$100.00	$100.00	$187.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $139.60 / $139.60	Professional		$139.60	$139.60	$139.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $141.91	Facility		$50.00	$50.00	$141.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $141.91	Facility		$50.00	$50.00	$141.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $2,250,000.00 / $2,400,000.00	Professional		$100.82	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $229.50	Professional		$170.00	$170.00	$229.50