Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $16.32 / $18.54	Facility		$12.58	$16.32	$18.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $16.55 / $22.07	Professional		$12.58	$16.55	$22.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $23.48 / $68.95	Facility		$14.39	$23.48	$68.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $13.46	Professional		$12.00	$12.00	$13.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $20.16 / $31.44	Professional		$15.72	$20.16	$31.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.15 / $15.15	Facility		$12.09	$15.15	$15.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.15	Professional		$12.88	$12.88	$15.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $119.70 / $119.70	Facility		$113.07	$119.70	$119.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $147.24 / $160.65	Professional		$143.78	$147.24	$160.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $18.77 / $25.20	Facility		$6.90	$18.77	$25.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.42 / $25.20	Professional		$8.51	$21.42	$25.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $18.04 / $25.20	Facility		$6.90	$18.04	$25.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.76	Professional		$12.88	$12.88	$18.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.62 / $15.33	Professional		$8.91	$11.62	$15.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $25.20	Professional		$10.73	$10.73	$25.20