Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $89.30 / $110.09	Facility		$74.56	$89.30	$110.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $96.79 / $128.85	Professional		$79.50	$96.79	$128.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $64.75 / $316.39	Facility		$57.39	$64.75	$316.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $112.08 / $161.69	Professional		$77.33	$112.08	$161.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $105.50 / $105.50 / $120.00	Facility		$105.50	$105.50	$120.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $128.44 / $128.44	Facility		$95.62	$128.44	$128.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $100.00	Facility		$60.00	$70.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $112.23 / $164.24	Professional		$78.31	$112.23	$164.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $438.98 / $486.50	Facility		$222.26	$438.98	$486.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $616.10 / $784.58	Professional		$616.10	$616.10	$784.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $98.89 / $158.81	Facility		$77.20	$98.89	$158.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $121.94 / $167.43	Professional		$91.47	$121.94	$167.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $97.98 / $153.88	Facility		$72.81	$97.98	$153.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $113.05 / $170.15	Professional		$83.46	$113.05	$170.15
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $135.81 / $158.68	Facility		$105.14	$135.81	$158.68
United Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $96.01 / $152.66	Professional		$75.59	$96.01	$152.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $91.74 / $127.49	Professional		$80.06	$91.74	$127.49