Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $34.13 / $38.68	Facility		$33.78	$34.13	$38.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.84 / $38.68	Professional		$25.12	$34.84	$38.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $30.74 / $30.74	Professional		$30.74	$30.74	$30.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $27.13 / $27.13	Professional		$27.13	$27.13	$27.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $184.63 / $196.98	Facility		$76.70	$184.63	$196.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $38.76 / $50.32	Facility		$28.32	$38.76	$50.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $23.13 / $38.76	Professional		$18.29	$23.13	$38.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $38.76 / $50.32	Facility		$28.25	$38.76	$50.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $25.50 / $33.82	Professional		$18.29	$25.50	$33.82
United Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $38.88 / $45.74	Facility		$38.88	$38.88	$45.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $35.11 / $54.19	Professional		$24.12	$35.11	$54.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $52.33	Professional		$31.46	$31.46	$52.33