Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,577.00 / $2,577.00	Facility		$318.75	$1,577.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $318.75 / $475.00	Professional		$250.00	$318.75	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.13 / $530.80 / $922.50	Facility		$224.13	$530.80	$922.50
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 $201.62 / $562.63 / $1,676.20	Facility		$201.62	$562.63	$1,676.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $2,000.00	Professional		$772.33	$772.33	$2,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,647.01	Facility		$100.00	$100.00	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.94 / $1,094.94 / $1,094.94	Professional		$1,094.94	$1,094.94	$1,094.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $334.69 / $904.74	Facility		$275.00	$334.69	$904.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $334.69 / $904.74	Facility		$318.75	$334.69	$904.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $2,250,000.00 / $2,400,000.00	Professional		$772.33	$2,250,000.00	$2,400,000.00