Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Professional		$630.00	$630.00	$630.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $9.53	Professional		$9.53	$9.53	$9.53
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 $1,051.59 / $1,051.59 / $1,051.59	Facility		$1,051.59	$1,051.59	$1,051.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $893.86 / $1,051.59	Professional		$893.86	$893.86	$1,051.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $590.84	Facility		$100.00	$100.00	$590.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $667.80	Facility		$630.00	$630.00	$667.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,051.59 / $1,051.59 / $1,051.59	Facility		$1,051.59	$1,051.59	$1,051.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $893.86 / $1,051.59	Professional		$893.86	$893.86	$1,051.59
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