Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Facility		$7.20	$7.20	$7.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $52.50 / $775.00	Professional		$12.00	$52.50	$775.00
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 $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
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 $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $214.45	Facility		$100.00	$100.00	$214.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00