Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,539.00 / $2,577.00	Facility		$318.75	$1,539.00	$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 $416.22 / $962.26 / $1,630.50	Facility		$416.22	$962.26	$1,630.50
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 $276.67 / $888.61 / $1,676.20	Facility		$276.67	$888.61	$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 $1,328.38 / $1,328.38 / $1,328.38	Professional		$1,328.38	$1,328.38	$1,328.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $366.56 / $904.74	Facility		$318.75	$366.56	$904.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $366.56 / $904.74	Facility		$318.75	$366.56	$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