Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $18.87 / $26.74	Facility		$11.04	$18.87	$26.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.15 / $15.15	Professional		$11.03	$11.15	$15.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $89.47 / $176.75	Facility		$35.35	$89.47	$176.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Professional		$11.94	$11.94	$11.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $57.58 / $8,259.07	Facility		$15.99	$57.58	$8,259.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,398.38 / $1,398.38 / $1,398.38	Facility		$1,398.38	$1,398.38	$1,398.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $11.04 / $11.04	Facility		$10.41	$11.04	$11.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $100.00	Facility		$75.00	$95.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $15.79 / $16.42	Facility		$11.03	$15.79	$16.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.04 / $19.93	Professional		$8.27	$11.04	$19.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $11.04 / $20.53	Facility		$10.41	$11.04	$20.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.04 / $19.07	Professional		$10.39	$11.04	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.90	Professional		$10.54	$10.54	$14.90