Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $8.84 / $464.90	Facility		$2.29	$8.84	$464.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.29 / $3.66	Professional		$2.25	$2.29	$3.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $15.27 / $31.42	Facility		$5.75	$15.27	$31.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $6.91	Professional		$6.91	$6.91	$6.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $5.33 / $27.89	Facility		$2.25	$5.33	$27.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.25 / $2.25	Facility		$2.13	$2.25	$2.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $190.59 / $211.64	Facility		$75.00	$190.59	$211.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $3.27 / $14.70	Facility		$2.25	$3.27	$14.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.25 / $4.33	Professional		$1.70	$2.25	$4.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.25 / $5.69	Facility		$2.13	$2.25	$5.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.25 / $4.09	Professional		$2.14	$2.25	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.39 / $3.05	Professional		$2.25	$2.39	$3.05