Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $90.88	Facility		$68.13	$68.13	$90.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $68.13 / $68.13	Professional		$68.13	$68.13	$68.13
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
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 $69.23 / $69.23 / $69.23	Facility		$69.23	$69.23	$69.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $96.53 / $96.53	Professional		$75.08	$96.53	$96.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $121.48	Facility		$68.13	$68.13	$121.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $102.20	Facility		$68.13	$68.13	$102.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
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