Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $74.13 / $158.49	Facility		$37.15	$74.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $52.48	Professional		$41.69	$42.66	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $95.50 / $190.55	Facility		$43.65	$95.50	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $104.71 / $128.82	Facility		$45.71	$104.71	$128.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $436.52	Professional		$302.00	$436.52	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $61.66 / $158.49	Facility		$42.66	$61.66	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $50.12	Professional		$41.69	$42.66	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $141.25	Facility		$42.66	$52.48	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88