Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $17.48 / $17.66	Facility		$17.48	$17.48	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.48 / $17.66	Professional		$13.64	$17.48	$17.66
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 $149.94 / $149.94 / $149.94	Facility		$149.94	$149.94	$149.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $63.52 / $63.52	Professional		$32.56	$63.52	$63.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $17.05 / $29.64	Facility		$13.91	$17.05	$29.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $37.08	Facility		$17.05	$17.05	$37.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $23.02	Professional		$17.05	$17.05	$23.02