Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $89.59 / $344.76	Facility		$59.40	$89.59	$344.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $59.40 / $71.77	Professional		$49.50	$59.40	$71.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $66.04 / $131.29	Facility		$24.47	$66.04	$131.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $37.96 / $37.96	Professional		$37.96	$37.96	$37.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $82.91 / $123.38	Facility		$36.85	$82.91	$123.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $49.50 / $79.20	Professional		$28.71	$49.50	$79.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $90.00 / $100.00	Facility		$39.97	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $49.50 / $65.13	Professional		$44.29	$49.50	$65.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $52.10 / $74.50	Facility		$36.85	$52.10	$74.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $49.50	Professional		$46.77	$46.77	$49.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $48.76 / $84.94	Facility		$23.50	$48.76	$84.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $49.50	Professional		$48.76	$48.76	$49.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $51.38 / $52.10	Professional		$41.36	$51.38	$52.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $33.17 / $66.83	Professional		$33.17	$33.17	$66.83