Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $28.19 / $267.54	Facility		$15.45	$28.19	$267.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.45 / $23.26	Professional		$15.30	$15.45	$23.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.70 / $3.39	Facility		$0.63	$1.70	$3.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $11.44 / $11.44	Professional		$11.44	$11.44	$11.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $8.66 / $113.57	Facility		$3.19	$8.66	$113.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $15.30 / $15.30	Facility		$14.43	$15.30	$15.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $16.93 / $22.54	Facility		$0.53	$16.93	$22.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $15.30 / $27.56	Professional		$12.70	$15.30	$27.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $15.30 / $21.88	Facility		$1.43	$15.30	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.30 / $22.28	Professional		$14.37	$15.30	$22.28
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $20.66	Professional		$12.31	$12.31	$20.66