Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $48.62 / $52.69	Facility		$48.62	$48.62	$52.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $50.10 / $61.37	Professional		$25.37	$50.10	$61.37
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 Professional Modifier Low / Median / High Price $27.70 / $27.70 / $27.70	Professional		$27.70	$27.70	$27.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $371.87 / $371.87	Facility		$124.17	$371.87	$371.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $382.72 / $595.35	Professional		$382.72	$382.72	$595.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $49.90 / $116.01	Facility		$28.19	$49.90	$116.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $66.29 / $66.29	Professional		$66.29	$66.29	$66.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $49.94 / $116.01	Facility		$30.53	$49.94	$116.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $2,250,000.00 / $2,250,000.00	Professional		$66.29	$2,250,000.00	$2,250,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $42.00	Professional		$30.00	$30.00	$42.00