Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,549.00 / $2,577.00	Facility		$318.75	$1,549.00	$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 $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $987.90 / $1,676.20	Facility		$337.40	$987.90	$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 $1,450.34 / $1,450.34 / $1,450.34	Professional		$1,450.34	$1,450.34	$1,450.34
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