Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $16,595.87	Facility		$30.20	$67.61	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $48.98	Professional		$30.20	$30.20	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $223.87 / $436.52	Facility		$91.20	$223.87	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $8,128.31	Facility		$57.54	$125.89	$8,128.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $30.20	Facility		$24.55	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $15,135.61	Facility		$30.20	$42.66	$15,135.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $87.10	Professional		$30.20	$30.20	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $31.62	Professional		$30.90	$30.90	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $100.00	Facility		$30.20	$43.65	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $32.36	Professional		$31.62	$31.62	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.20 / $30.20	Facility		$29.51	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $47.86	Professional		$30.20	$42.66	$47.86