Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $22.68 / $27.00	Facility		$19.98	$22.68	$27.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $110.00	Facility		$90.00	$90.00	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $98.00	Facility		$77.00	$77.00	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $98.00	Professional		$20.89	$20.89	$98.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $120.00 / $120.00	Facility		$65.00	$120.00	$120.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $75.00 / $75.00	Facility		$22.51	$75.00	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $75.00 / $75.00	Facility		$22.51	$75.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $82.00	Professional		$20.89	$20.89	$82.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $4.75	Professional		$4.75	$4.75	$4.75