Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Facility		$45.60	$45.60	$45.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Professional		$45.60	$45.60	$45.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.79 / $1,003.79 / $1,003.79	Professional		$1,003.79	$1,003.79	$1,003.79
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 $80.00 / $80.00 / $100.00	Facility		$80.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $76.61	Facility		$45.60	$45.60	$76.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $70.00	Facility		$45.60	$45.60	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $2,250,000.00 / $2,400,000.00	Professional		$57.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,142.74 / $1,142.74	Professional		$1,142.74	$1,142.74	$1,142.74