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
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $72.15 / $72.15	Professional		$72.15	$72.15	$72.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
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 $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00