Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $100.00 / $250.00	Professional		$25.60	$100.00	$250.00
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
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 $64.00 / $65.00 / $65.00	Facility		$64.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $145.87	Facility		$100.00	$100.00	$145.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $74.20 / $74.20	Professional		$25.96	$74.20	$74.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $65.00 / $65.00	Facility		$64.00	$65.00	$65.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00