Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Facility		$791.41	$791.41	$791.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Professional		$791.41	$791.41	$791.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.56 / $1,845.02 / $3,477.59	Facility		$796.56	$1,845.02	$3,477.59
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 Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $807.24 / $2,246.34	Facility		$791.41	$807.24	$2,246.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $807.24 / $2,246.34	Facility		$791.41	$807.24	$2,246.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $22.40	Professional		$16.00	$16.00	$22.40