Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $307.42 / $430.39	Facility		$244.17	$307.42	$430.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $307.42 / $307.42	Professional		$307.42	$307.42	$307.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $158.30 / $296.33	Facility		$58.11	$158.30	$296.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $222.52 / $261.79	Professional		$157.07	$222.52	$261.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $219.72 / $219.72 / $235.00	Facility		$219.72	$219.72	$235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $89.40 / $299.49	Facility		$43.99	$89.40	$299.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $317.49 / $983.58	Professional		$254.00	$317.49	$983.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $491.40 / $491.40	Facility		$357.00	$491.40	$491.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.25 / $307.42 / $372.40	Facility		$271.25	$307.42	$372.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.40 / $1,566.40 / $59,999.40	Professional		$1,566.40	$1,566.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $284.26 / $372.40	Facility		$48.17	$284.26	$372.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $2,400,000.00 / $2,400,000.00	Professional		$360.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $49.76 / $124.66	Facility		$22.73	$49.76	$124.66
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $365.00 / $700.00	Professional		$300.00	$365.00	$700.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $518.00	Professional		$400.00	$400.00	$518.00