Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $269.00 / $269.00	Professional		$269.00	$269.00	$269.00
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 Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $254.31 / $254.31	Facility		$85.09	$254.31	$254.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $259.38 / $407.40	Professional		$254.84	$259.38	$407.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.89 / $70.00 / $157.50	Facility		$56.89	$70.00	$157.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Professional		$45.45	$45.45	$45.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.89 / $70.00 / $157.50	Facility		$56.89	$70.00	$157.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $2,250,000.00 / $2,250,000.00	Professional		$241.01	$2,250,000.00	$2,250,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $140.00	Professional		$100.00	$100.00	$140.00