Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $2.68 / $3.44	Facility		$1.67	$2.68	$3.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.69 / $2.16	Professional		$1.67	$1.69	$2.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $2.56 / $5.09	Facility		$1.01	$2.56	$5.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.08	Professional		$1.23	$1.23	$2.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.90 / $4,324.20	Facility		$1.33	$1.90	$4,324.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.67 / $1.67	Facility		$1.58	$1.67	$1.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Professional		$1.67	$1.67	$1.67
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 $1.08 / $1.69 / $2.46	Facility		$1.08	$1.69	$2.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.67 / $2.93	Professional		$1.15	$1.67	$2.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.67 / $2.42	Facility		$1.30	$1.67	$2.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.67 / $2.72	Professional		$1.53	$1.67	$2.72
United Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Facility		$1.67	$1.67	$1.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $1.67	Professional		$1.67	$1.67	$1.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $2.25	Professional		$1.50	$1.50	$2.25