Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,549.00 / $2,577.00	Facility		$425.00	$1,549.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $425.00 / $475.00	Professional		$250.00	$425.00	$475.00
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 $276.67 / $888.61 / $1,676.20	Facility		$276.67	$888.61	$1,676.20
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 / $1,093.20	Facility		$100.00	$100.00	$1,093.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $425.00 / $1,206.32	Facility		$299.00	$425.00	$1,206.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.06 / $425.00 / $1,195.84	Facility		$361.06	$425.00	$1,195.84
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60