Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $107.15 / $363.08	Facility		$15.85	$107.15	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $45.71	Professional		$15.14	$21.88	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $61.66 / $117.49	Facility		$25.12	$61.66	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.95 / $19.95	Professional		$17.78	$19.95	$19.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $83.18	Facility		$53.70	$53.70	$83.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.44 / $23.44	Facility		$22.91	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $95.50	Facility		$54.95	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $50.12	Professional		$19.95	$27.54	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Professional		$199.53	$199.53	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.30 / $53.70	Facility		$15.49	$26.30	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $44.67	Professional		$15.14	$22.91	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.30 / $57.54	Facility		$15.49	$26.30	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $47.86	Professional		$19.50	$27.54	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $26.30	Facility		$19.05	$19.05	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $39.81	Professional		$16.22	$23.44	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $23.99	Professional		$23.44	$23.99	$23.99