Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $136.28 / $378.90	Facility		$56.00	$136.28	$378.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $57.56 / $93.34	Professional		$43.56	$57.56	$93.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.11 / $222.45 / $420.01	Facility		$80.11	$222.45	$420.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $41.22 / $69.22	Professional		$5.00	$41.22	$69.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $124.45 / $223.26	Facility		$77.78	$124.45	$223.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $77.78 / $77.78	Facility		$43.47	$77.78	$77.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $116.46 / $326.89	Facility		$45.03	$116.46	$326.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $39.76 / $113.00	Professional		$25.23	$39.76	$113.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $369.46 / $369.46	Facility		$151.40	$369.46	$369.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $77.78 / $85.56	Facility		$56.00	$77.78	$85.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $77.78 / $77.78	Professional		$52.33	$77.78	$77.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $77.78 / $178.85	Facility		$50.56	$77.78	$178.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $39.76 / $77.78	Professional		$25.23	$39.76	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $32.67 / $46.67	Professional		$21.58	$32.67	$46.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $31.11 / $77.78	Professional		$30.33	$31.11	$77.78