Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $48.06 / $164.66	Facility		$19.26	$48.06	$164.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $21.66 / $30.58	Professional		$15.29	$21.66	$30.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $84.08 / $147.76	Facility		$31.60	$84.08	$147.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.50 / $22.68	Professional		$5.00	$13.50	$22.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $40.77 / $150.77	Facility		$25.48	$40.77	$150.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $29.36	Facility		$25.48	$25.48	$29.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $55.97 / $128.26	Facility		$17.80	$55.97	$128.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.59 / $43.22	Professional		$13.50	$18.59	$43.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.32 / $121.47 / $121.47	Facility		$54.32	$121.47	$121.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $25.48 / $33.11	Facility		$20.38	$25.48	$33.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $25.48 / $25.48	Professional		$21.66	$25.48	$25.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $25.48 / $63.49	Facility		$20.38	$25.48	$63.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $19.59 / $28.38	Professional		$13.50	$19.59	$28.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.58 / $21.00	Professional		$10.70	$14.58	$21.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.58 / $25.48	Professional		$9.94	$12.58	$25.48