Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $93.33 / $741.31	Facility		$31.62	$93.33	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $30.90	Professional		$18.20	$18.20	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $138.04	Facility		$28.84	$70.79	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $41.69 / $363.08	Facility		$17.78	$41.69	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $18.20	Facility		$16.98	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $77.62 / $575.44	Facility		$18.20	$77.62	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $37.15	Professional		$18.20	$18.20	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $19.05	Professional		$18.62	$18.62	$19.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $57.54	Facility		$18.20	$25.70	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20