Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $416.44	Facility		$1.26	$1.26	$416.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
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 $289.89 / $289.89 / $289.89	Professional		$289.89	$289.89	$289.89
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 $262.00 / $262.00 / $267.07	Facility		$262.00	$262.00	$267.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $748.60 / $748.60	Facility		$100.00	$748.60	$748.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $322.91 / $322.91	Professional		$322.91	$322.91	$322.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $3.58	Facility		$1.26	$1.26	$3.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $3.58	Facility		$1.26	$1.26	$3.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $405.00	Professional		$300.00	$300.00	$405.00