Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.43 / $107.43 / $108.96	Facility		$107.43	$107.43	$108.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $101.86 / $117.40	Professional		$62.92	$101.86	$117.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $73.19 / $164.80	Facility		$32.24	$73.19	$164.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $52.18 / $52.18	Professional		$44.35	$52.18	$52.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $102.72 / $108.32	Professional		$77.04	$102.72	$108.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $128.30 / $137.59	Professional		$83.40	$128.30	$137.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $180.95 / $343.58	Facility		$49.80	$180.95	$343.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $659.14 / $659.14 / $659.14	Professional		$659.14	$659.14	$659.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $101.86 / $120.19	Facility		$24.45	$101.86	$120.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $101.86 / $120.22	Facility		$24.76	$101.86	$120.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $137.59 / $139.52	Professional		$83.40	$137.59	$139.52
United Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $115.38 / $194.04	Professional		$83.25	$115.38	$194.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $42.57	Professional		$30.41	$30.41	$42.57