Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.94 / $6,900.00	Facility		$2.86	$2.94	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.94 / $3.96	Professional		$2.86	$2.94	$3.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $6.61 / $13.18	Facility		$2.61	$6.61	$13.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $3.07	Professional		$3.07	$3.07	$3.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5,584.97 / $5,584.97 / $5,584.97	Facility		$5,584.97	$5,584.97	$5,584.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,145.46 / $3,145.46 / $3,145.46	Facility		$3,145.46	$3,145.46	$3,145.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Facility		$80.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $3.58 / $4.20	Facility		$2.94	$3.58	$4.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $4.20	Facility		$3.04	$3.04	$4.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04
United Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $3.60	Facility		$2.18	$2.18	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $4.01	Professional		$2.98	$2.98	$4.01