Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $132.91 / $338.47	Facility		$53.35	$132.91	$338.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $52.71 / $85.48	Professional		$39.89	$52.71	$85.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $225.09 / $411.00	Facility		$78.34	$225.09	$411.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $37.75 / $56.98	Professional		$5.00	$37.75	$56.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $96.16	Facility		$71.23	$71.23	$96.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $71.23 / $71.23	Facility		$60.30	$71.23	$71.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $121.19 / $314.95	Facility		$49.77	$121.19	$314.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $38.90 / $108.41	Professional		$33.60	$38.90	$108.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $338.34 / $338.34	Facility		$123.94	$338.34	$338.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $71.23 / $85.48	Facility		$51.88	$71.23	$85.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $71.23 / $71.23	Professional		$64.11	$71.23	$71.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $71.23 / $163.82	Facility		$51.88	$71.23	$163.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $43.87 / $74.97	Professional		$33.60	$43.87	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $30.71 / $44.98	Professional		$29.92	$30.71	$44.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $28.49 / $71.23	Professional		$27.78	$28.49	$71.23