Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,166.00 / $7,513.00	Facility		$428.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
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 Facility Modifier Low / Median / High Price $357.11 / $357.11 / $357.11	Facility		$357.11	$357.11	$357.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.41 / $477.41 / $477.41	Professional		$477.41	$477.41	$477.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.88 / $2,061.88 / $2,144.36	Professional		$2,061.88	$2,061.88	$2,144.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $269.43	Facility		$45.89	$127.09	$269.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $269.43	Facility		$45.89	$127.09	$269.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.41 / $2,250,000.00 / $2,400,000.00	Professional		$477.41	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $203.66 / $274.94	Professional		$203.66	$203.66	$274.94