Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $288.60 / $444.61	Facility		$240.04	$288.60	$444.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $288.60 / $371.10	Professional		$261.14	$288.60	$371.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.88 / $627.38 / $1,251.79	Facility		$247.88	$627.38	$1,251.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $268.16 / $268.16	Professional		$268.16	$268.16	$268.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $261.14	Professional		$261.14	$261.14	$261.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.60 / $549.78 / $1,000.91	Facility		$314.60	$549.78	$1,000.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $288.60 / $412.70	Facility		$261.14	$288.60	$412.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.68 / $246.68 / $261.14	Professional		$246.68	$246.68	$261.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $269.49 / $412.70	Facility		$261.14	$269.49	$412.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $269.49 / $269.49	Professional		$261.14	$269.49	$269.49
United Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $283.93 / $288.60	Professional		$228.59	$283.93	$288.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.20 / $228.20 / $352.55	Professional		$228.20	$228.20	$352.55