Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $120.23	Facility		$41.69	$50.12	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $158.49	Professional		$38.02	$72.44	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $70.79	Professional		$39.81	$54.95	$70.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $144.54	Professional		$39.81	$83.18	$144.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $100.00	Professional		$47.86	$70.79	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $933.25 / $933.25	Facility		$104.71	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,862.09	Professional		$954.99	$954.99	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $2,754.23 / $5,370.32	Facility		$83.18	$2,754.23	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $107.15 / $190.55	Professional		$39.81	$107.15	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $104.71	Professional		$58.88	$85.11	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $6,165.95	Facility		$1,819.70	$3,019.95	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $95.50	Professional		$48.98	$67.61	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74