Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $97.56 / $193.36	Facility		$87.80	$97.56	$193.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $97.56	Professional		$21.00	$97.56	$97.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $148.41 / $259.22	Facility		$54.42	$148.41	$259.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $69.27 / $81.48	Professional		$48.90	$69.27	$81.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $104.37 / $111.63	Facility		$104.37	$104.37	$111.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $89.40 / $164.24	Facility		$29.35	$89.40	$164.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $78.47 / $224.41	Professional		$62.78	$78.47	$224.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $170.10 / $170.10	Facility		$128.52	$170.10	$170.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $97.56 / $126.72	Facility		$97.56	$97.56	$126.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $97.56 / $164.24	Facility		$33.58	$97.56	$164.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $160.00 / $2,400,000.00	Professional		$70.00	$160.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Professional		$132.00	$132.00	$132.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $41.96	Professional		$32.40	$32.40	$41.96