Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $59.62 / $259.20	Facility		$39.72	$59.62	$259.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $53.14 / $72.27	Professional		$51.84	$53.14	$72.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $75.42 / $149.05	Facility		$29.81	$75.42	$149.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $37.32 / $37.32	Professional		$37.32	$37.32	$37.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $28.99 / $64.34	Facility		$16.85	$28.99	$64.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.60 / $243.00	Facility		$75.00	$129.60	$243.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $35.46 / $88.03	Facility		$9.94	$35.46	$88.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $16.42 / $48.60	Professional		$8.56	$16.42	$48.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $55.08 / $75.98	Facility		$12.08	$55.08	$75.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $55.08 / $55.08	Professional		$16.42	$55.08	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $72.90	Professional		$54.00	$54.00	$72.90