Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $76.65 / $100.30	Facility		$44.11	$76.65	$100.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.55 / $60.67	Professional		$44.11	$44.55	$60.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $109.14 / $214.74	Facility		$43.12	$109.14	$214.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $46.04 / $46.04	Professional		$46.04	$46.04	$46.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $89.28 / $4,594.53	Facility		$43.32	$89.28	$4,594.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $44.11 / $70.58	Professional		$26.89	$44.11	$70.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,498.20 / $4,498.20 / $4,498.20	Facility		$4,498.20	$4,498.20	$4,498.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $44.11 / $44.11	Facility		$41.61	$44.11	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $290.50 / $290.50	Facility		$75.00	$290.50	$290.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $44.55 / $64.95	Facility		$20.19	$44.55	$64.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $41.57 / $79.73	Professional		$28.02	$41.57	$79.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $44.11 / $63.71	Facility		$41.61	$44.11	$63.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $44.11 / $79.28	Professional		$33.36	$44.11	$79.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $43.80 / $59.55	Professional		$43.80	$43.80	$59.55