Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
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 $42.38 / $42.38 / $42.38	Professional		$42.38	$42.38	$42.38
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 $70.00 / $70.00 / $134.61	Facility		$70.00	$70.00	$134.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $146.57	Facility		$100.00	$100.00	$146.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $188.44 / $188.44	Professional		$188.44	$188.44	$188.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $212.88	Facility		$75.00	$75.00	$212.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $212.88	Facility		$75.00	$75.00	$212.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $252.45	Professional		$187.00	$187.00	$252.45