Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $2,446.44	Facility		$855.25	$855.25	$2,446.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $855.25 / $855.25	Professional		$855.25	$855.25	$855.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.57 / $1,879.06 / $3,499.41	Facility		$818.57	$1,879.06	$3,499.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $993.43 / $993.43 / $993.43	Facility		$993.43	$993.43	$993.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.66 / $440.66 / $440.66	Professional		$440.66	$440.66	$440.66
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 $855.25 / $872.36 / $2,427.54	Facility		$855.25	$872.36	$2,427.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $855.25 / $855.25 / $2,427.54	Facility		$855.25	$855.25	$2,427.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $22.40	Professional		$16.00	$16.00	$22.40