Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $43.70 / $1,265.79	Facility		$18.28	$43.70	$1,265.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.29 / $24.77	Professional		$18.10	$18.29	$24.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $30.98 / $64.87	Facility		$13.60	$30.98	$64.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $19.51 / $19.51	Professional		$19.51	$19.51	$19.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $18.03 / $405.79	Facility		$15.00	$18.03	$405.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $256.31 / $256.31 / $256.31	Facility		$256.31	$256.31	$256.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $18.11 / $18.11	Facility		$17.07	$18.11	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $164.81 / $164.81	Facility		$100.00	$164.81	$164.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $18.29 / $26.67	Facility		$12.93	$18.29	$26.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $18.11 / $32.83	Professional		$13.52	$18.11	$32.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $18.11 / $26.15	Facility		$14.99	$18.11	$26.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $18.11 / $31.49	Professional		$17.12	$18.11	$31.49
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $24.45	Professional		$17.39	$17.39	$24.45