Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $30.80	Facility		$5.00	$5.00	$30.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $16.29	Professional		$3.00	$5.00	$16.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $35.67 / $66.26	Facility		$15.12	$35.67	$66.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Professional		$7.86	$7.86	$7.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $12.37	Professional		$11.27	$11.27	$12.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $8.30 / $8.30	Facility		$8.30	$8.30	$8.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.28 / $15.79	Professional		$9.00	$12.28	$15.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $70.00 / $70.00	Facility		$25.88	$70.00	$70.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $11.10 / $17.07	Facility		$5.00	$11.10	$17.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $11.10 / $20.19	Facility		$5.00	$11.10	$20.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.39 / $17.96	Professional		$9.00	$12.39	$17.96
United Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $19.01 / $19.01	Facility		$19.01	$19.01	$19.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $11.69 / $14.46	Professional		$10.41	$11.69	$14.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $15.80	Professional		$9.93	$9.93	$15.80