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 $266.10 / $318.75 / $475.00	Professional		$266.10	$318.75	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.32 / $640.86 / $1,027.71	Facility		$277.32	$640.86	$1,027.71
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 $261.08 / $658.04 / $1,626.05	Facility		$261.08	$658.04	$1,626.05
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 $1,271.50 / $1,271.50 / $1,271.50	Professional		$1,271.50	$1,271.50	$1,271.50
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
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $423.01 / $528.75	Facility		$230.13	$423.01	$528.75