Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.00 / $42.50	Professional		$12.00	$20.00	$42.50
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 $147.85 / $147.85 / $147.85	Professional		$147.85	$147.85	$147.85
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 $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $20.00 / $21.20	Facility		$15.00	$20.00	$21.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $27.00 / $55.00	Professional		$19.54	$27.00	$55.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $20.00 / $56.77	Facility		$15.00	$20.00	$56.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.38 / $30.38	Professional		$30.38	$30.38	$30.38