Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $363.08	Facility		$41.69	$50.12	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $562.34	Professional		$32.36	$53.70	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $346.74	Professional		$208.93	$275.42	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $831.76	Professional		$323.59	$457.09	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,466.84	Professional		$2,884.03	$2,884.03	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,691.53 / $5,370.32	Facility		$234.42	$2,691.53	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $363.08 / $630.96	Professional		$40.74	$363.08	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $851.14	Professional		$77.62	$85.11	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $5,888.44	Facility		$1,698.24	$2,884.03	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $478.63	Professional		$239.88	$338.84	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $234.42	Professional		$81.28	$190.55	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53