Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $55.80 / $447.23	Facility		$23.98	$55.80	$447.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.90 / $49.89	Professional		$36.00	$36.90	$49.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $56.33 / $123.16	Facility		$6.92	$56.33	$123.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $22.46 / $22.46	Professional		$22.46	$22.46	$22.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $2.93 / $113.45	Facility		$2.67	$2.93	$113.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $168.75	Facility		$75.00	$100.00	$168.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $45.00 / $61.13	Facility		$0.74	$45.00	$61.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $4.70 / $33.75	Professional		$2.45	$4.70	$33.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $38.25 / $52.77	Facility		$1.05	$38.25	$52.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $38.25 / $38.25	Professional		$3.88	$38.25	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $50.63	Professional		$37.50	$37.50	$50.63