Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $107.15	Professional		$57.54	$72.44	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $107.15	Professional		$57.54	$75.86	$107.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $104.71	Professional		$64.57	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $117.49	Professional		$61.66	$81.28	$117.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $562.34	Professional		$457.09	$562.34	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $125.89	Professional		$63.10	$83.18	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $125.89	Professional		$63.10	$83.18	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $104.71	Professional		$52.48	$69.18	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10