Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $47.20	Facility		$5.00	$5.00	$47.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $22.97	Professional		$3.00	$5.00	$22.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $158.88 / $299.45	Facility		$60.47	$158.88	$299.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $15.72 / $15.72	Professional		$15.72	$15.72	$15.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Facility		$13.75	$13.75	$13.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $23.21 / $28.82	Professional		$17.14	$23.21	$28.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.73 / $32.54	Professional		$13.39	$16.73	$32.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $75.68 / $86.97	Facility		$35.14	$75.68	$86.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $12.18 / $20.48	Facility		$5.00	$12.18	$20.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Professional		$15.58	$15.58	$15.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $13.64 / $28.75	Facility		$5.00	$13.64	$28.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $23.78 / $32.54	Professional		$13.39	$23.78	$32.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $18.36 / $27.65	Professional		$12.27	$18.36	$27.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.96	Professional		$13.80	$13.80	$21.96