Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $39.44 / $427.84	Facility		$10.14	$39.44	$427.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.83 / $6.69	Professional		$4.79	$4.83	$6.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $39.15 / $93.54	Facility		$14.23	$39.15	$93.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $6.91	Professional		$6.91	$6.91	$6.91
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $33.54 / $400.96	Facility		$4.79	$33.54	$400.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.28 / $24.28	Facility		$24.28	$24.28	$24.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.79 / $4.79	Facility		$4.51	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $197.50 / $197.50	Facility		$75.00	$197.50	$197.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $35.28 / $269.85	Facility		$4.79	$35.28	$269.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.79 / $11.89	Professional		$3.59	$4.79	$11.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.79 / $16.80	Facility		$4.51	$4.79	$16.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.79 / $8.21	Professional		$4.28	$4.79	$8.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.47 / $6.57	Professional		$4.79	$6.47	$6.57