Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $60.96 / $200.79	Facility		$25.52	$60.96	$200.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.52 / $37.89	Professional		$25.27	$25.52	$37.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $52.70 / $104.10	Facility		$20.82	$52.70	$104.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $19.77 / $19.77	Professional		$19.77	$19.77	$19.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $31.32 / $60.91	Facility		$12.49	$31.32	$60.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $810.25 / $810.25 / $810.25	Facility		$810.25	$810.25	$810.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $25.27 / $25.27	Facility		$23.84	$25.27	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.55 / $134.55	Facility		$75.00	$134.55	$134.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $27.07 / $37.22	Facility		$4.92	$27.07	$37.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.27 / $55.17	Professional		$20.30	$25.27	$55.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $25.27 / $36.14	Facility		$9.09	$25.27	$36.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $25.27 / $45.74	Professional		$23.84	$25.27	$45.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $30.48 / $34.11	Professional		$27.07	$30.48	$34.11