Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $58.00 / $149.44	Facility		$32.22	$58.00	$149.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.54 / $44.16	Professional		$32.22	$32.54	$44.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $135.04 / $278.44	Facility		$55.80	$135.04	$278.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $57.47 / $57.47	Professional		$57.47	$57.47	$57.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $31.55 / $251.10	Facility		$23.66	$31.55	$251.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $32.22 / $32.22	Facility		$30.39	$32.22	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $132.77 / $251.10	Facility		$75.00	$132.77	$251.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $32.22 / $47.45	Facility		$21.20	$32.22	$47.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $32.22 / $58.63	Professional		$23.66	$32.22	$58.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $32.22 / $46.07	Facility		$22.13	$32.22	$46.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $32.22 / $54.43	Professional		$30.57	$32.22	$54.43
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $30.07 / $43.50	Professional		$30.07	$30.07	$43.50