Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $29.74	Facility		$29.74	$29.74	$29.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
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 / $1,195.85	Facility		$64.00	$64.00	$1,195.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $29.74 / $84.41	Facility		$29.74	$29.74	$84.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $30.33 / $84.41	Facility		$29.74	$30.33	$84.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $472.50	Professional		$350.00	$350.00	$472.50