Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $43.65 / $4,401.97	Facility		$42.39	$43.65	$4,401.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $43.65 / $64.95	Professional		$41.39	$43.65	$64.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.36 / $620.86 / $1,385.30	Facility		$345.36	$620.86	$1,385.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $49.58 / $72.19	Professional		$39.95	$49.58	$72.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $481.68 / $1,536.58	Facility		$43.61	$481.68	$1,536.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $62.34 / $97.00	Professional		$46.80	$62.34	$97.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $633.00 / $633.00	Professional		$633.00	$633.00	$633.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $62.16 / $107.07	Facility		$42.78	$62.16	$107.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $65.33 / $76.86	Professional		$46.97	$65.33	$76.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $63.05 / $120.32	Facility		$43.00	$63.05	$120.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $63.42 / $102.54	Professional		$46.80	$63.42	$102.54
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $943.00 / $2,376.00	Facility		$157.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $52.01 / $80.38	Professional		$37.82	$52.01	$80.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $41.90 / $57.75	Professional		$36.44	$41.90	$57.75