Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $8.00 / $8.00	Professional		$7.22	$8.00	$8.00
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 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Professional		$7.65	$7.65	$7.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $94.50 / $94.50	Professional		$73.50	$94.50	$94.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $42.00	Facility		$25.00	$25.00	$42.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $37.50	Facility		$25.00	$25.00	$37.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $25.00	Professional		$7.65	$7.65	$25.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86