Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
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 $2,012.69 / $2,012.69 / $2,012.69	Professional		$2,012.69	$2,012.69	$2,012.69
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 $78.88 / $78.88 / $135.61	Facility		$78.88	$78.88	$135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $108.32 / $108.32	Professional		$108.32	$108.32	$108.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $7.98	Facility		$2.81	$2.81	$7.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $7.98	Facility		$2.81	$2.81	$7.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $167.40	Professional		$124.00	$124.00	$167.40