Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $62.65 / $350.03	Facility		$6.40	$62.65	$350.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.83 / $7.03	Professional		$5.09	$6.83	$7.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $62.87 / $123.70	Facility		$24.84	$62.87	$123.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $14.33 / $101.48	Facility		$3.14	$14.33	$101.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.83 / $6.83	Facility		$6.44	$6.83	$6.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
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 $3.14 / $6.89 / $10.15	Facility		$3.14	$6.89	$10.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $6.83 / $13.01	Professional		$2.36	$6.83	$13.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.83 / $10.15	Facility		$6.44	$6.83	$10.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.83 / $12.31	Professional		$6.42	$6.83	$12.31
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $7.19 / $9.22	Professional		$3.14	$7.19	$9.22