Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $41.47 / $66.73	Facility		$23.64	$41.47	$66.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.89 / $32.22	Professional		$23.65	$23.89	$32.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $57.91 / $115.54	Facility		$22.88	$57.91	$115.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $23.31 / $23.31	Professional		$23.31	$23.31	$23.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $26.02 / $38.04	Professional		$22.27	$26.02	$38.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $23.65 / $23.65	Facility		$22.31	$23.65	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $115.89 / $118.25	Facility		$75.00	$115.89	$118.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $33.82 / $34.83	Facility		$23.63	$33.82	$34.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $23.65 / $42.80	Professional		$17.72	$23.65	$42.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $23.65 / $34.15	Facility		$22.31	$23.65	$34.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $23.65 / $41.94	Professional		$22.31	$23.65	$41.94
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $31.93	Professional		$23.17	$23.17	$31.93