Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $174.10 / $483.91	Facility		$34.83	$174.10	$483.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $26.39 / $41.72	Professional		$22.33	$26.39	$41.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $392.71 / $743.33	Facility		$134.88	$392.71	$743.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.11 / $11.11	Professional		$9.44	$11.11	$11.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $62.08 / $343.00	Facility		$6.19	$62.08	$343.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $72.34 / $72.34	Facility		$72.34	$72.34	$72.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $43.58 / $163.00	Facility		$12.34	$43.58	$163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $19.88 / $39.75	Professional		$11.37	$19.88	$39.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $170.00 / $170.00	Facility		$95.24	$170.00	$170.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $19.14 / $41.20	Facility		$11.13	$19.14	$41.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $21.61 / $59,999.40	Professional		$6.30	$21.61	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $25.74 / $109.43	Facility		$12.34	$25.74	$109.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $12.81 / $33.25	Professional		$9.99	$12.81	$33.25
United Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $149.16 / $182.78	Facility		$12.79	$149.16	$182.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $16.35 / $23.39	Professional		$9.96	$16.35	$23.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $24.87	Professional		$15.84	$15.84	$24.87