Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $41.17 / $14,685.00	Facility		$21.31	$41.17	$14,685.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.52 / $30.30	Professional		$21.30	$21.52	$30.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $54.04 / $106.75	Facility		$21.35	$54.04	$106.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Professional		$23.43	$23.43	$23.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $31.08 / $6,806.74	Facility		$20.32	$31.08	$6,806.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $31.08 / $34.10	Professional		$21.31	$31.08	$34.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $8,943.06 / $8,943.06 / $8,943.06	Facility		$8,943.06	$8,943.06	$8,943.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $21.31 / $21.31	Facility		$20.10	$21.31	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $105.80 / $106.55	Facility		$75.00	$105.80	$106.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $30.47 / $108.29	Facility		$21.52	$30.47	$108.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $21.31 / $39.22	Professional		$16.55	$21.31	$39.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $21.31 / $30.77	Facility		$20.10	$21.31	$30.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $21.31 / $38.70	Professional		$20.17	$21.31	$38.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $21.67 / $28.77	Professional		$21.67	$21.67	$28.77