Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $157.59 / $335.81	Facility		$89.92	$157.59	$335.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $86.51 / $102.05	Professional		$70.38	$86.51	$102.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $142.25 / $284.50	Facility		$55.62	$142.25	$284.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $62.23 / $62.23	Professional		$62.23	$62.23	$62.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $70.38 / $158.36	Facility		$37.14	$70.38	$158.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Facility		$24.10	$24.10	$24.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $179.13 / $300.14	Facility		$82.18	$179.13	$300.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $83.00 / $123.71	Facility		$59.71	$83.00	$123.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $70.38	Professional		$66.64	$66.64	$70.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.36 / $80.88 / $123.71	Facility		$68.36	$80.88	$123.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $80.88 / $80.88	Professional		$70.38	$80.88	$80.88
United Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $85.23 / $86.54	Professional		$68.62	$85.23	$86.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $68.17 / $95.01	Professional		$68.17	$68.17	$95.01