Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $39.79 / $93.28	Professional		$27.39	$39.79	$93.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.81 / $22.81 / $22.81	Professional	52	$22.81	$22.81	$22.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $57.89 / $57.89	Professional		$49.20	$57.89	$57.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $62.64 / $89.06	Professional		$52.02	$62.64	$89.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $90.00	Professional		$55.95	$55.95	$90.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $68.11 / $76.01	Professional		$51.69	$68.11	$76.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $55.95 / $200.32	Professional		$48.45	$55.95	$200.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $66.75 / $140.54	Professional		$29.60	$66.75	$140.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $117.59 / $117.59	Professional		$57.46	$117.59	$117.59