Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $54.42 / $70.28	Facility		$31.27	$54.42	$70.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.58 / $43.03	Professional		$31.27	$31.58	$43.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $71.80 / $141.85	Facility		$28.37	$71.80	$141.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $33.13 / $33.13	Professional		$33.13	$33.13	$33.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $51.88 / $2,719.78	Facility		$26.99	$51.88	$2,719.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,987.04 / $2,987.04 / $2,987.04	Facility		$2,987.04	$2,987.04	$2,987.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.27 / $31.27	Facility		$29.50	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $153.22 / $156.35	Facility		$75.00	$153.22	$156.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $44.72 / $46.06	Facility		$31.33	$44.72	$46.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $31.27 / $56.88	Professional		$23.50	$31.27	$56.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.27 / $45.16	Facility		$29.50	$31.27	$45.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $31.27 / $55.55	Professional		$29.65	$31.27	$55.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $30.69 / $42.21	Professional		$30.69	$30.69	$42.21