Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $116.92 / $207.71	Facility		$100.32	$116.92	$207.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $100.33 / $105.39	Professional		$73.79	$100.33	$105.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $169.98 / $335.80	Facility		$67.16	$169.98	$335.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $74.20 / $74.20	Professional		$74.20	$74.20	$74.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $72.68 / $296.25	Facility		$61.31	$72.68	$296.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.58 / $69.58 / $69.58	Facility		$69.58	$69.58	$69.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $93.78 / $93.78	Facility		$69.62	$93.78	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $316.18 / $316.18	Facility		$98.15	$316.18	$316.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $77.28 / $143.47	Facility		$53.47	$77.28	$143.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $69.69 / $73.79	Professional		$69.69	$69.69	$73.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $93.78 / $100.33	Facility		$62.48	$93.78	$100.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $93.78 / $93.78	Professional		$73.79	$93.78	$93.78
United Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $100.23 / $100.23	Professional		$80.69	$100.23	$100.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $80.55 / $99.62	Professional		$73.79	$80.55	$99.62