Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $50.04 / $461.90	Facility		$4.95	$50.04	$461.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.97 / $3.42	Professional		$1.94	$1.97	$3.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $36.51 / $74.50	Facility		$14.90	$36.51	$74.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $5.67	Professional		$5.67	$5.67	$5.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.38 / $223.20	Facility		$1.95	$3.38	$223.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $15.47 / $15.47	Facility		$15.47	$15.47	$15.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.95 / $1.95	Facility		$1.84	$1.95	$1.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $44.25 / $273.48	Facility		$2.27	$44.25	$273.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.95 / $4.53	Professional		$1.71	$1.95	$4.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.95 / $2.82	Facility		$1.58	$1.95	$2.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.95 / $3.51	Professional		$1.83	$1.95	$3.51
United Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.95 / $1.95	Professional		$1.56	$1.95	$1.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.50 / $2.63	Professional		$1.95	$2.50	$2.63