Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $12.83 / $71.02	Facility		$6.06	$12.83	$71.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $9.05 / $9.32	Professional		$5.60	$9.05	$9.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $8.93 / $18.92	Facility		$3.80	$8.93	$18.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $9.00 / $17.43	Facility		$4.00	$9.00	$17.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $9.05 / $9.05	Facility		$8.53	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
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 $1.22 / $9.05 / $13.47	Facility		$1.22	$9.05	$13.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $9.05 / $16.42	Professional		$3.00	$9.05	$16.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $9.05 / $13.33	Facility		$3.82	$9.05	$13.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $9.05 / $15.96	Professional		$8.56	$9.05	$15.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $8.82 / $12.22	Professional		$4.00	$8.82	$12.22