Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $28.65 / $76.56	Facility		$16.05	$28.65	$76.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.23 / $21.81	Professional		$16.07	$16.23	$21.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.61 / $196.43 / $387.27	Facility		$77.61	$196.43	$387.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $45.24 / $45.24	Professional		$45.24	$45.24	$45.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $363.93 / $363.93 / $363.93	Facility		$363.93	$363.93	$363.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $16.07 / $16.07	Facility		$15.17	$16.07	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $411.35 / $411.35	Facility		$86.40	$411.35	$411.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.07 / $23.68	Facility		$10.69	$16.07	$23.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.07 / $69.29	Professional		$11.69	$16.07	$69.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.07 / $23.22	Facility		$10.69	$16.07	$23.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.07 / $29.32	Professional		$15.28	$16.07	$29.32
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $21.71 / $38.28	Professional		$15.58	$21.71	$38.28