Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $117.79 / $202.69	Facility		$63.17	$117.79	$202.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $117.79 / $142.33	Professional		$98.16	$117.79	$142.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $111.82 / $220.90	Facility		$44.18	$111.82	$220.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $85.83 / $85.83	Professional		$85.83	$85.83	$85.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $83.49 / $202.67	Facility		$17.82	$83.49	$202.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Professional		$83.49	$83.49	$83.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $150.50 / $175.76	Facility		$90.57	$150.50	$175.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $103.33 / $147.76	Facility		$83.49	$103.33	$147.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $92.62 / $98.16	Professional		$92.62	$92.62	$98.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $96.58 / $168.44	Facility		$67.16	$96.58	$168.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $98.16	Professional		$96.58	$96.58	$98.16
United Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Facility		$83.49	$83.49	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $101.75 / $103.33	Professional		$81.92	$101.75	$103.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $132.52	Professional		$75.14	$75.14	$132.52