Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $26.12 / $51.20	Facility		$6.05	$26.12	$51.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.11 / $17.57	Professional		$6.05	$6.11	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $20.87 / $42.90	Facility		$8.08	$20.87	$42.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $22.38 / $22.38	Professional		$22.38	$22.38	$22.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $12.80 / $106.03	Facility		$5.92	$12.80	$106.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $6.05 / $6.05	Facility		$5.70	$6.05	$6.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
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 $4.43 / $8.65 / $12.80	Facility		$4.43	$8.65	$12.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $9.60 / $28.56	Professional		$5.81	$9.60	$28.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $6.05 / $8.99	Facility		$5.70	$6.05	$8.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $11.14	Professional		$6.05	$6.05	$11.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $12.80 / $15.78	Professional		$8.17	$12.80	$15.78