Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $400.99	Facility		$90.00	$90.00	$400.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
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 $108.90 / $108.90 / $108.90	Professional		$108.90	$108.90	$108.90
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 $124.38 / $124.38 / $151.56	Facility		$124.38	$124.38	$151.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $254.05 / $254.05	Facility		$100.00	$254.05	$254.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $143.65 / $143.65	Professional		$143.65	$143.65	$143.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $255.46	Facility		$90.00	$90.00	$255.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $255.46	Facility		$90.00	$90.00	$255.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $202.50	Professional		$150.00	$150.00	$202.50