Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $15.85 / $15.85	Facility		$15.22	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $15.22 / $15.85	Professional		$12.68	$15.22	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $25.04 / $52.60	Facility		$10.52	$25.04	$52.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $10.52	Professional		$10.52	$10.52	$10.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $19.71 / $48.26	Facility		$19.71	$19.71	$48.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $100.00 / $100.00	Facility		$19.92	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $15.85 / $22.67	Facility		$12.04	$15.85	$22.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Professional		$9.48	$9.48	$9.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $21.76	Facility		$11.97	$11.97	$21.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
United Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $60.72 / $60.72	Professional		$48.89	$60.72	$60.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.25 / $18.00	Professional		$12.04	$16.25	$18.00