Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $19.64 / $43.02	Facility		$12.32	$19.64	$43.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.44 / $15.59	Professional		$12.32	$12.44	$15.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $28.85 / $57.57	Facility		$11.40	$28.85	$57.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.26 / $12.26	Professional		$12.26	$12.26	$12.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $18.95 / $2,869.09	Facility		$12.58	$18.95	$2,869.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $197.43 / $197.43 / $197.43	Facility		$197.43	$197.43	$197.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $12.32 / $12.32	Facility		$11.62	$12.32	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $17.62 / $18.14	Facility		$12.35	$17.62	$18.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.32 / $22.28	Professional		$9.26	$12.32	$22.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $12.32 / $17.79	Facility		$11.62	$12.32	$17.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $12.32 / $22.23	Professional		$11.62	$12.32	$22.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $16.63	Professional		$12.28	$12.28	$16.63