Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $74.78 / $159.96	Facility		$34.04	$74.78	$159.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.39 / $50.35	Professional		$34.04	$34.39	$50.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $166.67 / $327.93	Facility		$65.84	$166.67	$327.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Professional		$44.73	$44.73	$44.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $64.65 / $7,510.00	Facility		$40.84	$64.65	$7,510.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,644.57 / $6,644.57 / $6,644.57	Facility		$6,644.57	$6,644.57	$6,644.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $34.04 / $34.04	Facility		$32.11	$34.04	$34.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $342.40 / $342.40	Facility		$76.93	$342.40	$342.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $36.65 / $50.15	Facility		$30.04	$36.65	$50.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $34.04 / $81.41	Professional		$27.50	$34.04	$81.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $34.04 / $50.64	Facility		$32.11	$34.04	$50.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $34.04 / $61.56	Professional		$32.10	$34.04	$61.56
United Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $34.03 / $34.03	Facility		$34.03	$34.03	$34.03
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $44.98 / $45.97	Professional		$34.04	$44.98	$45.97