Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $84.91 / $416.28	Facility		$25.33	$84.91	$416.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.58 / $193.54	Professional		$25.33	$25.58	$193.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.29 / $815.72 / $1,611.45	Facility		$322.29	$815.72	$1,611.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,132.68 / $1,132.68 / $1,132.68	Facility		$1,132.68	$1,132.68	$1,132.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $25.33 / $25.33	Facility		$23.90	$25.33	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.23 / $1,826.45 / $1,826.45	Facility		$363.23	$1,826.45	$1,826.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $37.31 / $280.01	Facility		$25.58	$37.31	$280.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $45.74 / $89.60	Professional		$23.84	$45.74	$89.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $25.33 / $280.01	Facility		$23.90	$25.33	$280.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $67.11	Professional		$25.33	$25.33	$67.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $28.20 / $28.20	Professional		$25.33	$28.20	$28.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $34.20 / $37.08	Professional		$25.33	$34.20	$37.08