Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $162.18	Facility		$21.88	$56.23	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $34.67	Professional		$18.20	$23.99	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $100.00 / $173.78	Facility		$39.81	$100.00	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.60 / $28.84	Professional		$5.01	$16.60	$28.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $43.65 / $173.78	Facility		$27.54	$43.65	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $33.11	Facility		$29.51	$29.51	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $162.18	Facility		$28.84	$64.57	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $50.12	Professional		$15.85	$21.38	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $29.51 / $56.23	Facility		$22.91	$29.51	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $38.90	Professional		$16.98	$26.92	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $25.12	Professional		$22.39	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $87.10	Facility		$23.99	$29.51	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $50.12	Professional		$16.98	$21.88	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $17.78 / $29.51	Facility		$10.72	$17.78	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $25.12	Professional		$12.59	$17.38	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75