Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $157.03	Facility		$104.69	$104.69	$157.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $104.69 / $104.69	Professional		$102.23	$104.69	$104.69
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 $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $62.16 / $62.16	Professional		$62.16	$62.16	$62.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $178.60 / $178.60	Facility		$105.93	$178.60	$178.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $297.14	Facility		$104.69	$104.69	$297.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $297.14	Facility		$104.69	$104.69	$297.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $25.32 / $34.18	Professional		$25.32	$25.32	$34.18