Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $159.35 / $342.04	Facility		$102.41	$159.35	$342.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $113.79 / $145.19	Professional		$100.14	$113.79	$145.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $167.92 / $349.89	Facility		$63.12	$167.92	$349.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $92.86 / $92.86	Professional		$92.86	$92.86	$92.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $162.31 / $329.47	Facility		$38.65	$162.31	$329.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Facility		$67.98	$67.98	$67.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.42 / $227.58 / $414.53	Facility		$108.42	$227.58	$414.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $109.69 / $144.33	Professional		$47.23	$109.69	$144.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.16 / $113.79 / $162.72	Facility		$43.16	$113.79	$162.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $39.13	Professional		$39.13	$39.13	$39.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $106.62 / $162.72	Facility		$56.14	$106.62	$162.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $106.62 / $106.62	Professional		$56.29	$106.62	$106.62
United Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $113.99 / $115.46	Professional		$91.77	$113.99	$115.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $94.34 / $127.36	Professional		$94.34	$94.34	$127.36