Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $67.70 / $91.54	Facility		$41.96	$67.70	$91.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $42.40 / $57.64	Professional		$41.98	$42.40	$57.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $86.74 / $173.06	Facility		$34.27	$86.74	$173.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $40.69 / $40.69	Professional		$40.69	$40.69	$40.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $59.23 / $18,637.36	Facility		$35.32	$59.23	$18,637.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $41.98 / $41.98	Facility		$39.61	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $206.20 / $209.90	Facility		$75.00	$206.20	$209.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $60.03 / $61.83	Facility		$41.96	$60.03	$61.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $41.98 / $76.20	Professional		$31.47	$41.98	$76.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $41.98 / $60.63	Facility		$39.61	$41.98	$60.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $41.98 / $74.72	Professional		$39.74	$41.98	$74.72
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $56.67	Professional		$41.28	$41.28	$56.67