Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $16.48	Facility		$15.24	$15.24	$16.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $16.13 / $22.94	Professional		$14.26	$16.13	$22.94
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $32.44 / $32.44	Professional		$27.57	$32.44	$32.44
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 $26.58 / $26.58 / $26.58	Professional		$26.58	$26.58	$26.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $87.42 / $87.42	Facility		$75.00	$87.42	$87.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $119.84 / $139.88	Professional		$119.84	$119.84	$139.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $22.51 / $38.79	Facility		$15.65	$22.51	$38.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $15.56 / $15.56	Professional		$15.56	$15.56	$15.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $22.84 / $38.79	Facility		$15.54	$22.84	$38.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $2,250,000.00 / $2,250,000.00	Professional		$33.72	$2,250,000.00	$2,250,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $49.00	Professional		$35.00	$35.00	$49.00