Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $195.57 / $547.88	Facility		$53.67	$195.57	$547.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $19.51 / $31.29	Professional		$16.71	$19.51	$31.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $375.97 / $741.89	Facility		$126.28	$375.97	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.84 / $10.84	Professional		$9.21	$10.84	$10.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $47.71 / $66.20	Facility		$27.66	$47.71	$66.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $165.25 / $165.25	Facility		$165.25	$165.25	$165.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $30.58 / $116.90	Facility		$9.80	$30.58	$116.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.91 / $29.94	Professional		$9.02	$14.91	$29.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $128.00 / $128.00	Facility		$90.00	$128.00	$128.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $22.56 / $32.72	Professional		$16.79	$22.56	$32.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $18.88 / $142.69	Facility		$13.58	$18.88	$142.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $17.14 / $59,999.40	Professional		$6.30	$17.14	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $20.72 / $84.39	Facility		$13.58	$20.72	$84.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $9.80 / $26.60	Professional		$8.84	$9.80	$26.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $12.26 / $17.54	Professional		$7.86	$12.26	$17.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $15.29	Professional		$11.81	$11.81	$15.29