Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,315.27 / $5,286.19 / $13,055.45	Facility		$2,315.27	$5,286.19	$13,055.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $34.65 / $147.40	Professional		$9.74	$34.65	$147.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,316.09 / $3,546.62 / $3,964.71	Facility		$3,316.09	$3,546.62	$3,964.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $4,323.68 / $19,769.43	Facility		$9.74	$4,323.68	$19,769.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $34.65 / $147.40	Facility		$9.74	$34.65	$147.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00