Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $658.15 / $2,050.84	Facility		$5.81	$658.15	$2,050.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $103.91	Professional		$5.81	$5.81	$103.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.03 / $1,760.08 / $3,116.95	Facility		$672.03	$1,760.08	$3,116.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $9.76 / $9.76	Professional		$8.30	$9.76	$9.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $862.67 / $862.67 / $862.67	Facility		$862.67	$862.67	$862.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $473.24 / $898.80	Facility		$473.24	$473.24	$898.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $171.28 / $533.75	Professional		$171.28	$171.28	$533.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $881.30	Facility		$100.00	$100.00	$881.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $656.92 / $656.92 / $656.92	Professional		$656.92	$656.92	$656.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $16.48	Facility		$5.81	$5.81	$16.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $16.48	Facility		$5.81	$5.81	$16.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $119.10	Professional		$85.07	$85.07	$119.10