Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $36.14 / $568.23	Facility		$12.23	$36.14	$568.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.74 / $30.94	Professional		$24.50	$24.74	$30.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $9.52 / $18.98	Facility		$3.76	$9.52	$18.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $24.31	Professional		$24.31	$24.31	$24.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $24.51 / $792.96	Facility		$3.67	$24.51	$792.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Facility		$156.00	$156.00	$156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $24.50 / $24.50	Facility		$23.11	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $122.50 / $125.10	Facility		$75.00	$122.50	$125.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $24.74 / $36.08	Facility		$3.23	$24.74	$36.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $23.23 / $44.57	Professional		$18.38	$23.23	$44.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $24.50 / $35.38	Facility		$4.11	$24.50	$35.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $24.50 / $26.58	Professional		$23.23	$24.50	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $33.08	Professional		$23.60	$23.60	$33.08