Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $47.01 / $9,892.79	Facility		$27.00	$47.01	$9,892.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.27 / $29.99	Professional		$27.00	$27.27	$29.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $180.61 / $360.37	Facility		$74.20	$180.61	$360.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Professional		$28.10	$28.10	$28.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $48.60 / $7,100.55	Facility		$27.00	$48.60	$7,100.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $43.20 / $75.04	Professional		$27.00	$43.20	$75.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,782.68 / $1,782.68 / $1,782.68	Facility		$1,782.68	$1,782.68	$1,782.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $27.00 / $27.00	Facility		$24.65	$27.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $222.75 / $222.75	Facility		$90.41	$222.75	$222.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $38.61 / $86.35	Facility		$25.05	$38.61	$86.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $27.00 / $48.67	Professional		$18.79	$27.00	$48.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $27.00 / $50.22	Facility		$24.65	$27.00	$50.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $27.00 / $47.53	Professional		$25.37	$27.00	$47.53
United Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $26.26 / $36.45	Professional		$25.05	$26.26	$36.45