Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $43.89 / $227.90	Facility		$20.04	$43.89	$227.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $20.04 / $27.90	Professional		$19.84	$20.04	$27.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $63.71 / $127.11	Facility		$26.18	$63.71	$127.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $25.13 / $25.13	Professional		$25.13	$25.13	$25.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $78.48	Facility		$54.00	$54.00	$78.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $19.84 / $19.84	Facility		$18.72	$19.84	$19.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $28.37 / $35.25	Facility		$17.23	$28.37	$35.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $19.84 / $39.13	Professional		$12.92	$19.84	$39.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $19.84 / $28.66	Facility		$18.72	$19.84	$28.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $19.84 / $35.77	Professional		$18.64	$19.84	$35.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $21.62 / $26.78	Professional		$17.23	$21.62	$26.78