Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $87.56 / $87.56	Professional		$22.50	$87.56	$87.56
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 $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $161.19 / $161.19	Facility		$100.00	$161.19	$161.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $290.64	Facility		$173.00	$173.00	$290.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $263.02	Facility		$173.00	$173.00	$263.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $203.52 / $203.52	Professional		$156.52	$203.52	$203.52