Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $67.23 / $100.81	Professional		$52.04	$67.23	$100.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $51.13 / $100.75	Professional		$45.31	$51.13	$100.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $63.53 / $117.67	Professional		$55.08	$63.53	$117.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $80.34 / $103.58	Professional		$56.18	$80.34	$103.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $91.19 / $110.01	Professional		$55.08	$91.19	$110.01
United Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $78.20 / $108.75	Professional		$55.62	$78.20	$108.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $49.42 / $78.52	Professional		$49.42	$49.42	$78.52