Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.60 / $156.88 / $195.78	Facility		$150.60	$156.88	$195.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $150.60 / $156.88	Professional		$125.50	$150.60	$156.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.55 / $284.32 / $594.37	Facility		$122.55	$284.32	$594.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $122.55 / $122.55	Professional		$122.55	$122.55	$122.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $574.66 / $574.66 / $574.66	Facility		$574.66	$574.66	$574.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $137.94 / $137.94	Professional		$55.00	$137.94	$137.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $532.45 / $532.45	Facility		$167.50	$532.45	$532.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.41 / $150.60 / $224.34	Facility		$103.41	$150.60	$224.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Professional		$78.56	$78.56	$78.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $137.94 / $215.36	Facility		$126.62	$137.94	$215.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $137.94 / $137.94	Professional		$78.56	$137.94	$137.94
United Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $174.23 / $174.23	Professional		$140.27	$174.23	$174.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $182.25	Professional		$135.00	$135.00	$182.25