Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
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 / $191.40	Facility		$70.00	$70.00	$191.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $381.85	Facility		$100.00	$100.00	$381.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $110.85 / $110.85	Professional		$110.85	$110.85	$110.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $113.54	Facility		$40.00	$40.00	$113.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $113.54	Facility		$40.00	$40.00	$113.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $294.30	Professional		$218.00	$218.00	$294.30