Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $6.67 / $7.68	Facility		$6.06	$6.67	$7.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.68 / $11.30	Professional		$5.66	$7.68	$11.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $3.53	Professional		$2.12	$2.12	$3.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.47 / $11.30	Professional		$3.22	$3.47	$11.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.15 / $45.15	Facility		$45.15	$45.15	$45.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.67 / $3.10	Facility		$1.67	$1.67	$3.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $8.52 / $8.52	Professional		$2.88	$8.52	$8.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $12.00 / $12.60	Facility		$5.66	$12.00	$12.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.00	Professional		$9.77	$9.77	$12.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $11.64 / $13.18	Facility		$5.66	$11.64	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $8.52 / $14.26	Professional		$2.63	$8.52	$14.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $10.30 / $15.75	Professional		$7.73	$10.30	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.67 / $12.00	Professional		$3.67	$3.67	$12.00