Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $61.21 / $133.88	Facility		$30.17	$61.21	$133.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.47 / $39.03	Professional		$30.17	$30.47	$39.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $70.66 / $139.09	Facility		$27.93	$70.66	$139.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $27.93 / $27.93	Professional		$27.93	$27.93	$27.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $61.56 / $128.13	Facility		$4.25	$61.56	$128.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $30.17 / $30.17	Facility		$28.46	$30.17	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $181.25 / $181.25	Facility		$75.00	$181.25	$181.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $30.17 / $44.43	Facility		$3.05	$30.17	$44.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $30.17 / $55.68	Professional		$20.52	$30.17	$55.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $30.17 / $43.57	Facility		$4.20	$30.17	$43.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $30.17 / $54.52	Professional		$28.43	$30.17	$54.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $30.76 / $40.72	Professional		$27.36	$30.76	$40.72