Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $531.89 / $1,506.21	Facility		$531.89	$531.89	$1,506.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $531.89 / $737.93	Professional		$531.89	$531.89	$737.93
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 $1,162.75 / $1,162.75 / $1,162.75	Facility		$1,162.75	$1,162.75	$1,162.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.25 / $431.25 / $431.25	Professional		$431.25	$431.25	$431.25
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 $531.89 / $611.66 / $1,509.72	Facility		$531.89	$611.66	$1,509.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $611.66 / $1,509.72	Facility		$531.89	$611.66	$1,509.72
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