Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $112.20	Professional		$15.14	$22.91	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $48.98	Professional		$21.38	$32.36	$48.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.44 / $24.55	Facility		$21.38	$23.44	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $257.04	Professional		$208.93	$208.93	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.18 / $50.12	Facility		$20.42	$28.18	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $44.67	Professional		$15.14	$30.20	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $47.86	Facility		$19.50	$27.54	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $52.48	Professional		$15.85	$19.95	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $23.99	Professional		$12.59	$12.59	$23.99