Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.79 / $122.70 / $153.38	Facility		$117.79	$122.70	$153.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $117.79 / $122.70	Professional		$98.16	$117.79	$122.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $90.48 / $180.54	Facility		$35.75	$90.48	$180.54
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 Professional Modifier Low / Median / High Price $83.49 / $107.98 / $157.06	Professional		$83.49	$107.98	$157.06
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 $90.59 / $131.84 / $175.78	Facility		$90.59	$131.84	$175.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $98.16 / $129.16	Professional		$87.83	$98.16	$129.16
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 $83.49 / $96.58 / $168.44	Facility		$83.49	$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 Professional Modifier Low / Median / High Price $93.25 / $115.83 / $115.83	Professional		$93.25	$115.83	$115.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $132.52	Professional		$75.14	$75.14	$132.52