Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $108.09 / $108.09	Facility		$105.46	$108.09	$108.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $108.09 / $112.05	Professional		$105.46	$108.09	$112.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
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 $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.23 / $263.64 / $479.89	Facility		$125.23	$263.64	$479.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.29 / $500.92 / $575.87	Professional		$486.29	$500.92	$575.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $111.79 / $299.33	Facility		$105.46	$111.79	$299.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $112.05 / $299.33	Facility		$105.46	$112.05	$299.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $38.47	Professional		$28.50	$28.50	$38.47