Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $93.76 / $364.00	Facility		$19.53	$93.76	$364.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $21.75 / $30.79	Professional		$15.18	$21.75	$30.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $83.01 / $165.00	Facility		$33.88	$83.01	$165.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $25.43 / $25.43	Professional		$22.53	$25.43	$25.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $70.42 / $120.00	Facility		$34.36	$70.42	$120.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $23.05 / $30.75	Facility		$23.05	$23.05	$30.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $32.59 / $104.57	Professional		$19.82	$32.59	$104.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $143.82 / $162.31	Facility		$80.00	$143.82	$162.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $201.41 / $258.14	Professional		$201.41	$201.41	$258.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $30.95 / $42.70	Facility		$19.53	$30.95	$42.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $41.49 / $59.92	Professional		$29.89	$41.49	$59.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $31.20 / $55.00	Facility		$20.05	$31.20	$55.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $34.31 / $105.73	Professional		$20.32	$34.31	$105.73
United Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $28.80 / $34.82	Professional		$24.13	$28.80	$34.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $29.89 / $80.00	Professional		$26.23	$29.89	$80.00