Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $65.47 / $181.62	Facility		$25.97	$65.47	$181.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.97 / $53.79	Professional		$19.64	$25.97	$53.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $111.94 / $205.82	Facility		$45.62	$111.94	$205.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Facility		$23.00	$23.00	$23.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $80.00	Facility		$35.09	$35.09	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $198.00 / $198.00	Facility		$73.45	$198.00	$198.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $361.80 / $361.80	Professional		$361.80	$361.80	$361.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $47.37 / $87.97	Facility		$27.37	$47.37	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $48.69	Professional		$35.09	$35.09	$48.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $35.09 / $57.77	Facility		$21.11	$35.09	$57.77
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.07 / $29.42	Professional		$14.74	$20.07	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09