Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $225.41 / $727.59	Facility		$82.07	$225.41	$727.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $82.09 / $102.88	Professional		$34.53	$82.09	$102.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.73 / $433.33 / $850.94	Facility		$174.73	$433.33	$850.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $44.36 / $44.36	Professional		$37.71	$44.36	$44.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $135.00 / $156.58	Facility		$45.00	$135.00	$156.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $220.08 / $220.08 / $220.08	Facility		$220.08	$220.08	$220.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $176.00 / $687.00	Facility		$60.44	$176.00	$687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $56.65 / $110.85	Professional		$24.72	$56.65	$110.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.34 / $432.96 / $432.96	Facility		$173.34	$432.96	$432.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.98 / $568.98 / $698.25	Professional		$568.98	$568.98	$698.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $75.97 / $112.50	Facility		$20.07	$75.97	$112.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $98.10	Professional		$77.81	$77.81	$98.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $69.97 / $107.91	Facility		$20.07	$69.97	$107.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $57.37 / $114.50	Professional		$23.82	$57.37	$114.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $63.61 / $78.95	Professional		$30.91	$63.61	$78.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $45.79	Professional		$33.92	$33.92	$45.79