Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,608.00 / $2,577.00	Facility		$318.75	$1,608.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $475.00	Professional		$318.75	$318.75	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.04 / $1,080.64 / $1,784.41	Facility		$462.04	$1,080.64	$1,784.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $77.48 / $77.48	Facility		$77.48	$77.48	$77.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $997.90 / $1,676.20	Facility		$337.40	$997.90	$1,676.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
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 $1,463.47 / $1,463.47 / $1,463.47	Professional		$1,463.47	$1,463.47	$1,463.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $342.08 / $904.74	Facility		$318.75	$342.08	$904.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $344.25 / $904.74	Facility		$318.75	$344.25	$904.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $40.01 / $54.01	Professional		$40.01	$40.01	$54.01