Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $130.21	Facility		$20.00	$20.00	$130.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
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 $38.94 / $42.88 / $47.65	Professional		$38.94	$42.88	$47.65
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 $117.89 / $117.89 / $117.89	Professional		$117.89	$117.89	$117.89
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 $24.95 / $77.04 / $77.04	Professional		$24.95	$77.04	$77.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $33.60	Facility		$20.00	$20.00	$33.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $20.00 / $20.00	Professional		$17.50	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $30.00	Facility		$20.00	$20.00	$30.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $117.89 / $117.89	Professional		$117.89	$117.89	$117.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $55.80 / $57.50	Professional		$48.76	$55.80	$57.50