Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $27.24 / $39.92	Facility		$18.01	$27.24	$39.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.19 / $23.10	Professional		$18.01	$18.19	$23.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $43.61 / $87.01	Facility		$17.23	$43.61	$87.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Professional		$19.29	$19.29	$19.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $31.21 / $3,495.16	Facility		$20.73	$31.21	$3,495.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $19.98 / $29.46	Professional		$18.01	$19.98	$29.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $18.01	Facility		$16.98	$18.01	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $88.85 / $90.05	Facility		$75.00	$88.85	$90.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $25.75 / $26.55	Facility		$18.19	$25.75	$26.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $18.01 / $32.86	Professional		$13.73	$18.01	$32.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $26.01	Facility		$16.98	$18.01	$26.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $18.01 / $32.83	Professional		$17.12	$18.01	$32.83
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $24.31	Professional		$18.16	$18.16	$24.31