Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $41.49 / $64.25	Facility		$27.85	$41.49	$64.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $30.93	Professional		$27.85	$28.12	$30.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.19 / $208.02 / $415.06	Facility		$82.19	$208.02	$415.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Professional		$24.93	$24.93	$24.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $107.53 / $5,642.84	Facility		$56.32	$107.53	$5,642.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $44.56 / $71.40	Professional		$27.85	$44.56	$71.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,971.24 / $1,971.24 / $1,971.24	Facility		$1,971.24	$1,971.24	$1,971.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $27.85 / $27.85	Facility		$22.17	$27.85	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $354.50 / $354.50	Facility		$86.02	$354.50	$354.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $39.83 / $149.59	Facility		$26.50	$39.83	$149.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.29 / $42.70	Professional		$19.88	$26.29	$42.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $27.85 / $41.01	Facility		$22.17	$27.85	$41.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $27.85 / $30.21	Professional		$26.29	$27.85	$30.21
United Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Facility		$24.94	$24.94	$24.94
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $31.00 / $31.00	Professional		$27.85	$31.00	$31.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $23.59 / $37.60	Professional		$23.59	$23.59	$37.60