Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $73.73 / $286.91	Facility		$42.13	$73.73	$286.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $84.26 / $216.55	Facility		$37.50	$84.26	$216.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $42.13 / $42.13	Professional		$25.28	$42.13	$42.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $33.54 / $52.18	Facility		$23.14	$33.54	$52.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $51.43	Facility		$42.13	$42.13	$51.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $29.08 / $155.37	Facility		$28.65	$29.08	$155.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $51.43 / $73.88	Professional		$28.71	$51.43	$73.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $244.29 / $244.29	Facility		$80.23	$244.29	$244.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $51.43 / $56.57	Facility		$42.13	$51.43	$56.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $51.43 / $51.43	Professional		$43.72	$51.43	$51.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $51.43 / $60.25	Facility		$41.14	$51.43	$60.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $48.86 / $54.00	Professional		$28.71	$48.86	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $25.72	Professional		$16.72	$17.73	$25.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $6.00 / $51.43	Professional		$5.85	$6.00	$51.43