Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
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 $604.41 / $604.41 / $604.41	Professional		$604.41	$604.41	$604.41
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 $258.19 / $258.19 / $424.08	Facility		$258.19	$258.19	$424.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $258.19 / $316.79	Facility		$100.00	$258.19	$316.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.30 / $407.30 / $407.30	Professional		$407.30	$407.30	$407.30
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 $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $384.75	Professional		$285.00	$285.00	$384.75