Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $25.87 / $27.93	Professional		$25.87	$25.87	$27.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $26.40 / $28.50	Facility		$23.40	$26.40	$28.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $37.02 / $37.02	Professional		$37.02	$37.02	$37.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $120.00	Facility		$90.00	$90.00	$120.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $152.00	Facility		$120.00	$120.00	$152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $127.00	Professional		$18.77	$18.77	$127.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.27 / $108.27 / $108.27	Facility		$108.27	$108.27	$108.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $25.87	Facility		$8.00	$8.00	$25.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $25.87	Facility		$8.00	$8.00	$25.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $18.77 / $127.00	Professional		$8.00	$18.77	$127.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00