Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $63.61 / $18,835.00	Facility		$29.38	$63.61	$18,835.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.67 / $37.31	Professional		$29.38	$29.67	$37.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $225.56 / $439.80	Facility		$90.57	$225.56	$439.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $33.34 / $33.34	Professional		$33.34	$33.34	$33.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $126.84 / $6,654.04	Facility		$57.98	$126.84	$6,654.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,168.60 / $2,168.60 / $2,168.60	Facility		$2,168.60	$2,168.60	$2,168.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $29.38 / $29.38	Facility		$23.70	$29.38	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $344.00 / $344.00	Facility		$101.47	$344.00	$344.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $42.01 / $193.93	Facility		$29.67	$42.01	$193.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $29.38 / $57.61	Professional		$23.39	$29.38	$57.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $29.38 / $42.43	Facility		$23.70	$29.38	$42.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $29.38 / $53.35	Professional		$27.82	$29.38	$53.35
United Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $47.37 / $47.37	Professional		$42.55	$47.37	$47.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $31.83 / $39.65	Professional		$31.18	$31.83	$39.65