Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $19.44 / $91.20	Facility		$3.89	$19.44	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.06 / $4.24	Professional		$2.04	$2.06	$4.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $10.17 / $20.75	Facility		$4.15	$10.17	$20.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $18.75 / $19.04	Facility		$5.87	$18.75	$19.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $15.88	Facility		$15.88	$15.88	$15.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $2.04 / $2.04	Facility		$1.92	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $4.63 / $129.38	Facility		$2.61	$4.63	$129.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.45 / $4.70	Professional		$1.96	$2.45	$4.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $2.04 / $4.50	Facility		$1.92	$2.04	$4.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.86	Professional		$2.04	$2.04	$3.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $2.75	Professional		$2.13	$2.13	$2.75