Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $53.55 / $162.52	Facility		$27.16	$53.55	$162.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $26.45 / $42.89	Professional		$20.01	$26.45	$42.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $110.44 / $203.72	Facility		$39.45	$110.44	$203.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.94 / $34.31	Professional		$5.00	$18.94	$34.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $51.82 / $187.67	Facility		$35.74	$51.82	$187.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $42.53 / $42.53	Facility		$35.74	$42.53	$42.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $61.71 / $151.51	Facility		$24.28	$61.71	$151.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $19.96 / $54.21	Professional		$17.12	$19.96	$54.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $169.77 / $169.77	Facility		$80.00	$169.77	$169.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $35.74 / $42.89	Facility		$26.03	$35.74	$42.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $35.74 / $35.74	Professional		$30.38	$35.74	$35.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $35.74 / $81.91	Facility		$25.73	$35.74	$81.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $20.59 / $35.74	Professional		$17.12	$20.59	$35.74
United Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $15.01 / $35.74	Facility		$12.87	$15.01	$35.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.71 / $21.86	Professional		$15.01	$15.71	$21.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $14.30 / $35.74	Professional		$13.94	$14.30	$35.74