Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $49.02 / $49.02	Professional		$49.02	$49.02	$49.02
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 $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $514.79 / $514.79	Facility		$100.00	$514.79	$514.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $588.00	Facility		$350.00	$350.00	$588.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $525.00	Facility		$350.00	$350.00	$525.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $2,400,000.00	Professional		$350.00	$350.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $301.30 / $301.30	Professional		$301.30	$301.30	$301.30