Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $45.20 / $45.20	Professional		$45.20	$45.20	$45.20
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 $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $75.59	Facility		$45.00	$45.00	$75.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $379.93	Facility		$45.00	$45.00	$379.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,078.66 / $1,078.66 / $1,078.66	Professional		$1,078.66	$1,078.66	$1,078.66