Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.95 / $341.28 / $597.54	Facility		$255.95	$341.28	$597.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.74 / $284.39 / $315.68	Professional		$241.74	$284.39	$315.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.33 / $505.44 / $998.90	Facility		$199.33	$505.44	$998.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.44 / $277.44 / $277.44	Professional		$277.44	$277.44	$277.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $279.99 / $279.99	Professional		$279.99	$279.99	$279.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $192.75 / $192.75	Facility		$192.75	$192.75	$192.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.18 / $738.05 / $1,006.31	Facility		$270.18	$738.05	$1,006.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $284.39 / $406.69	Facility		$284.39	$284.39	$406.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.19 / $205.19 / $205.19	Professional		$205.19	$205.19	$205.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.76 / $265.58 / $406.69	Facility		$200.76	$265.58	$406.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
United Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $279.81 / $284.39	Professional		$225.27	$279.81	$284.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.23 / $228.23 / $308.11	Professional		$228.23	$228.23	$308.11