Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $122.82 / $244.17	Facility		$87.34	$122.82	$244.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $90.98 / $113.73	Professional		$90.98	$90.98	$113.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $152.37 / $277.02	Facility		$54.42	$152.37	$277.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $103.45 / $121.71	Professional		$73.02	$103.45	$121.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $90.31 / $244.63	Facility		$51.38	$90.31	$244.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $89.40 / $152.85	Facility		$29.28	$89.40	$152.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $132.16 / $356.74	Professional		$105.73	$132.16	$356.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.77 / $270.00 / $270.00	Facility		$178.77	$270.00	$270.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $90.98 / $118.02	Facility		$81.52	$90.98	$118.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $59,999.40	Professional		$47.25	$47.25	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $90.98 / $146.82	Facility		$36.93	$90.98	$146.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $356.74 / $2,400,000.00	Professional		$105.00	$356.74	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $195.00	Professional		$150.00	$150.00	$195.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $43.15	Professional		$33.32	$33.32	$43.15