Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
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 $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $128.59 / $128.59 / $163.02	Facility		$128.59	$128.59	$163.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $174.25	Facility		$100.00	$100.00	$174.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Professional		$108.93	$108.93	$108.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $5.76	Facility		$2.02	$2.02	$5.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $5.76	Facility		$2.02	$2.02	$5.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $132.30	Professional		$98.00	$98.00	$132.30