Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.92 / $993.60	Facility		$12.30	$25.92	$993.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.30 / $16.63	Professional		$10.19	$12.30	$16.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $40.13 / $83.61	Facility		$17.18	$40.13	$83.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $31.37 / $69.73	Facility		$20.99	$31.37	$69.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
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 $9.84 / $14.07 / $20.17	Facility		$9.84	$14.07	$20.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $19.26 / $36.94	Professional		$9.56	$19.26	$36.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $26.12	Facility		$10.19	$10.19	$26.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $30.57	Professional		$10.19	$10.19	$30.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $14.35	Professional		$10.63	$10.63	$14.35