Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $251.19	Facility		$72.44	$100.00	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $117.49	Professional		$81.28	$89.13	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $151.36 / $263.03	Facility		$57.54	$151.36	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $123.03	Professional		$72.44	$123.03	$123.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $269.15	Facility		$54.95	$72.44	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $83.18 / $151.36	Facility		$29.51	$83.18	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $223.87	Professional		$104.71	$117.49	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $144.54	Facility		$83.18	$91.20	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $263.03	Professional		$83.18	$89.13	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $91.20 / $165.96	Facility		$34.67	$91.20	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $2,398,832.92	Professional		$79.43	$223.87	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $194.98	Facility		$79.43	$91.20	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $34.67 / $194.98	Professional		$16.22	$34.67	$194.98