Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $51.76 / $164.83	Facility		$21.31	$51.76	$164.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.53 / $29.12	Professional		$21.30	$21.53	$29.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $22.64 / $49.60	Facility		$4.18	$22.64	$49.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $45.60 / $134.79	Facility		$4.72	$45.60	$134.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $21.31 / $21.31	Facility		$20.11	$21.31	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $21.53 / $56.88	Facility		$2.46	$21.53	$56.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $21.31 / $38.70	Professional		$15.90	$21.31	$38.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $21.31 / $30.47	Facility		$3.62	$21.31	$30.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $21.31 / $37.90	Professional		$20.17	$21.31	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $20.94 / $28.77	Professional		$20.94	$20.94	$28.77