Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $42.65 / $58.49	Facility		$24.00	$42.65	$58.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.24 / $33.14	Professional		$24.00	$24.24	$33.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $53.61 / $105.48	Facility		$21.18	$53.61	$105.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $27.59 / $27.59	Professional		$27.59	$27.59	$27.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $29.48 / $8,049.56	Facility		$22.33	$29.48	$8,049.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $29.48 / $38.40	Professional		$13.82	$29.48	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $24.00 / $24.00	Facility		$22.64	$24.00	$24.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.00 / $121.85	Facility		$75.00	$120.00	$121.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $24.24 / $35.35	Facility		$8.24	$24.24	$35.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.00 / $43.38	Professional		$18.10	$24.00	$43.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $24.00 / $34.65	Facility		$21.14	$24.00	$34.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $24.00 / $43.22	Professional		$22.62	$24.00	$43.22
United Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Facility		$23.98	$23.98	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $32.40	Professional		$23.88	$23.88	$32.40