Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $66.86 / $434.90	Facility		$25.62	$66.86	$434.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.62 / $39.22	Professional		$25.37	$25.62	$39.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $143.22 / $295.00	Facility		$55.43	$143.22	$295.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $55.43 / $55.43	Professional		$55.43	$55.43	$55.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $63.05 / $279.60	Facility		$28.02	$63.05	$279.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.37 / $25.37	Facility		$23.93	$25.37	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $147.61 / $147.61	Facility		$127.90	$147.61	$147.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $36.28 / $83.09	Facility		$25.62	$36.28	$83.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $25.37 / $60.51	Professional		$21.02	$25.37	$60.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.37 / $47.19	Facility		$23.93	$25.37	$47.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $25.37 / $45.74	Professional		$23.84	$25.37	$45.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $33.43 / $34.25	Professional		$28.02	$33.43	$34.25