Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Facility		$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Professional		$47.06	$47.06	$47.06
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 $123.22 / $154.03 / $154.03	Professional		$123.22	$154.03	$154.03
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 $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $268.66	Facility		$100.00	$100.00	$268.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $89.46	Facility		$47.06	$47.06	$89.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $83.91	Facility		$47.06	$47.06	$83.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $2,250,000.00 / $2,400,000.00	Professional		$105.00	$2,250,000.00	$2,400,000.00
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