Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $509.87 / $1,267.71	Facility		$30.91	$509.87	$1,267.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.31 / $102.00	Professional		$30.01	$30.31	$102.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $31.89 / $63.00	Facility		$12.60	$31.89	$63.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $29.30 / $827.50	Facility		$5.44	$29.30	$827.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $365.06 / $365.06 / $365.06	Facility		$365.06	$365.06	$365.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $30.01 / $30.01	Facility		$28.31	$30.01	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $147.05 / $150.05	Facility		$75.00	$147.05	$150.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $42.91 / $103.17	Facility		$22.88	$42.91	$103.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $28.43 / $54.52	Professional		$15.86	$28.43	$54.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $30.01 / $43.34	Facility		$15.60	$30.01	$43.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $30.01 / $48.54	Professional		$28.43	$30.01	$48.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $26.82 / $40.51	Professional		$26.82	$26.82	$40.51