Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.56 / $751.56 / $1,886.92	Facility		$751.56	$751.56	$1,886.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.56 / $751.56 / $751.56	Professional		$751.56	$751.56	$751.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.56 / $1,872.26 / $3,458.57	Facility		$796.56	$1,872.26	$3,458.57
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 $477.77 / $477.77 / $477.77	Professional		$477.77	$477.77	$477.77
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 $751.56 / $766.59 / $2,133.23	Facility		$751.56	$766.59	$2,133.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.56 / $758.06 / $2,133.23	Facility		$751.56	$758.06	$2,133.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $477.77 / $477.77	Professional		$477.77	$477.77	$477.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $22.40	Professional		$16.00	$16.00	$22.40