Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $102.96 / $6,659.73	Facility		$56.07	$102.96	$6,659.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.63 / $76.37	Professional		$56.07	$56.63	$76.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $107.80 / $212.95	Facility		$42.59	$107.80	$212.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Professional		$51.41	$51.41	$51.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $77.70 / $10,782.35	Facility		$45.32	$77.70	$10,782.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $56.07 / $89.71	Professional		$51.80	$56.07	$89.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,201.35 / $3,201.35 / $3,201.35	Facility		$3,201.35	$3,201.35	$3,201.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $56.07 / $56.07	Facility		$52.89	$56.07	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $274.85 / $280.35	Facility		$75.00	$274.85	$280.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $80.18 / $82.58	Facility		$56.01	$80.18	$82.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $56.07 / $101.43	Professional		$42.01	$56.07	$101.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $56.07 / $80.98	Facility		$52.89	$56.07	$80.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $56.07 / $99.39	Professional		$52.88	$56.07	$99.39
United Facility/Professional Facility Modifier Low / Median / High Price $90.70 / $90.70 / $90.70	Facility		$90.70	$90.70	$90.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $54.91 / $75.69	Professional		$54.91	$54.91	$75.69