Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $43.80 / $94.50	Facility		$20.72	$43.80	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.92 / $30.87	Professional		$20.72	$20.92	$30.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $31.14 / $65.16	Facility		$12.57	$31.14	$65.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $13.66 / $13.66	Professional		$13.66	$13.66	$13.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $49.64 / $64.06	Facility		$7.25	$49.64	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $20.72 / $20.72	Facility		$19.54	$20.72	$20.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
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 $5.68 / $22.06 / $85.62	Facility		$5.68	$22.06	$85.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $20.72 / $39.49	Professional		$16.55	$20.72	$39.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $20.72 / $29.63	Facility		$6.09	$20.72	$29.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $20.72 / $37.53	Professional		$19.55	$20.72	$37.53
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $27.97	Professional		$21.82	$21.82	$27.97