Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $289.20 / $1,241.80	Facility		$118.61	$289.20	$1,241.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $118.61 / $167.23	Professional		$118.61	$118.61	$167.23
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 $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
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 $118.61 / $120.98 / $336.66	Facility		$118.61	$120.98	$336.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $120.98 / $336.66	Facility		$118.61	$120.98	$336.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60