Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Professional		$30.85	$30.85	$30.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $22.49 / $27.25	Facility		$20.32	$22.49	$27.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $29.62 / $29.62	Professional		$25.18	$29.62	$29.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $130.13 / $130.13	Professional		$128.44	$130.13	$130.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.95 / $126.95 / $126.95	Facility		$126.95	$126.95	$126.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $30.85	Facility		$8.00	$8.00	$30.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $30.85	Facility		$8.00	$8.00	$30.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $130.13 / $130.13	Professional		$8.00	$130.13	$130.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $6.10 / $6.10	Professional		$6.10	$6.10	$6.10