Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $220.04 / $538.90	Facility		$59.07	$220.04	$538.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $55.14 / $94.52	Professional		$44.11	$55.14	$94.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $213.07 / $407.24	Facility		$78.77	$213.07	$407.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $41.75 / $52.78	Professional		$5.00	$41.75	$52.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $122.09 / $177.23	Facility		$78.77	$122.09	$177.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $146.16 / $146.16	Facility		$78.77	$146.16	$146.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $119.95 / $332.61	Facility		$33.86	$119.95	$332.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $40.11 / $119.78	Professional		$18.98	$40.11	$119.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $374.16 / $374.16	Facility		$126.03	$374.16	$374.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $78.77 / $94.52	Facility		$39.39	$78.77	$94.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $78.77 / $78.77	Professional		$39.36	$78.77	$78.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $78.77 / $144.38	Facility		$39.39	$78.77	$144.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $36.69 / $78.77	Professional		$18.98	$36.69	$78.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $33.08 / $47.26	Professional		$16.23	$33.08	$47.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $31.51 / $78.77	Professional		$30.72	$31.51	$78.77