Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Professional		$14.40	$14.40	$14.40
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 $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $80.67 / $80.67	Facility		$80.67	$80.67	$80.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $90.00	Facility		$34.92	$34.92	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $112.62	Facility		$100.00	$100.00	$112.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $90.00	Facility		$34.92	$34.92	$90.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
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