Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $49.70 / $396.00	Facility		$4.20	$49.70	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.08	Professional		$0.05	$0.05	$0.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.06 / $0.15	Facility		$0.04	$0.06	$0.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.12	Professional		$0.05	$0.05	$0.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.15 / $56.51	Facility		$0.06	$0.15	$56.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $31.06 / $31.06	Facility		$31.06	$31.06	$31.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $0.05	Facility		$0.04	$0.05	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.49 / $2.02	Facility		$0.06	$0.49	$2.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.13 / $12.75	Professional		$0.04	$0.13	$12.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $0.11	Facility		$0.04	$0.05	$0.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.31	Professional		$0.05	$0.05	$0.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.07	Professional		$0.06	$0.07	$0.07