Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $67.73 / $578.72	Facility		$35.21	$67.73	$578.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $58.55 / $97.46	Professional		$39.07	$58.55	$97.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.32 / $270.83 / $594.08	Facility		$115.32	$270.83	$594.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $70.59 / $103.55	Professional		$41.86	$70.59	$103.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $180.58 / $180.58	Facility		$180.58	$180.58	$180.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $87.27	Facility		$41.40	$41.40	$87.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $75.12 / $115.13	Professional		$47.11	$75.12	$115.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $218.93	Facility		$55.00	$55.00	$218.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $578.40 / $680.55	Professional		$327.84	$578.40	$680.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $69.56 / $103.97	Facility		$43.35	$69.56	$103.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $88.62 / $140.90	Professional		$55.39	$88.62	$140.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $69.95 / $104.86	Facility		$43.35	$69.95	$104.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $79.06 / $125.05	Professional		$48.82	$79.06	$125.05
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $75.43 / $109.37	Professional		$56.57	$75.43	$109.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $75.50 / $105.70	Professional		$66.81	$75.50	$105.70