Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $94.38 / $182.00	Facility		$22.99	$94.38	$182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $21.89 / $35.15	Professional		$18.85	$21.89	$35.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $388.88 / $744.77	Facility		$138.52	$388.88	$744.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $20.63 / $20.63	Professional		$17.54	$20.63	$20.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $121.51 / $215.41	Facility		$31.32	$121.51	$215.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $182.80 / $182.80 / $182.80	Facility		$182.80	$182.80	$182.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $36.60 / $133.04	Facility		$9.80	$36.60	$133.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $16.75 / $33.56	Professional		$9.21	$16.75	$33.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $124.74 / $135.63	Facility		$90.00	$124.74	$135.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $18.64 / $32.60	Facility		$3.33	$18.64	$32.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.79 / $59,999.40	Professional		$17.14	$20.79	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $22.00 / $92.23	Facility		$3.33	$22.00	$92.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $10.91 / $42.00	Professional		$9.02	$10.91	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.11 / $19.70	Professional		$8.32	$13.11	$19.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $24.87	Professional		$13.39	$13.39	$24.87