Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $76.76 / $349.75	Facility		$21.34	$76.76	$349.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.78 / $20.45	Professional		$18.59	$18.78	$20.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $73.40 / $146.44	Facility		$29.00	$73.40	$146.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $20.84	Professional		$20.84	$20.84	$20.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $105.31 / $105.31	Facility		$105.31	$105.31	$105.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $18.59 / $18.59	Facility		$17.54	$18.59	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $92.90 / $92.90	Facility		$75.00	$92.90	$92.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $26.58 / $91.50	Facility		$18.59	$26.58	$91.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $17.42 / $33.81	Professional		$13.94	$17.42	$33.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $18.59 / $26.86	Facility		$17.54	$18.59	$26.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $18.59 / $20.17	Professional		$17.42	$18.59	$20.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.68 / $25.10	Professional		$18.59	$18.68	$25.10