Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $25.80 / $35.77	Facility		$16.52	$25.80	$35.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.68 / $22.52	Professional		$16.52	$16.68	$22.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $38.25 / $75.45	Facility		$14.94	$38.25	$75.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $17.80 / $17.80	Professional		$17.80	$17.80	$17.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $18.07 / $26.43	Professional		$16.52	$18.07	$26.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $16.52 / $16.52	Facility		$15.58	$16.52	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $23.62 / $24.32	Facility		$16.39	$23.62	$24.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.52 / $29.90	Professional		$12.30	$16.52	$29.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $16.52 / $23.85	Facility		$15.58	$16.52	$23.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $16.52 / $28.47	Professional		$15.59	$16.52	$28.47
United Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $15.62 / $25.77	Facility		$15.62	$15.62	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Professional		$16.52	$16.52	$16.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $15.73 / $22.30	Professional		$15.73	$15.73	$22.30