Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.55 / $818.99 / $1,057.42	Facility		$810.55	$818.99	$1,057.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.86 / $835.88 / $1,057.42	Professional		$600.86	$835.88	$1,057.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $82.44 / $82.44	Professional		$82.44	$82.44	$82.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $858.05 / $858.05 / $858.05	Professional		$858.05	$858.05	$858.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,603.62 / $3,758.09	Facility		$100.00	$1,603.62	$3,758.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.62 / $896.00 / $1,335.51	Facility		$768.62	$896.00	$1,335.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $628.30 / $768.62	Professional		$36.51	$628.30	$768.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $896.00 / $1,338.36	Facility		$733.81	$896.00	$1,338.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $768.62	Professional		$293.45	$293.45	$768.62
United Facility/Professional Professional Modifier Low / Median / High Price $583.88 / $972.84 / $1,824.08	Professional		$583.88	$972.84	$1,824.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $642.40 / $867.24	Professional		$642.40	$642.40	$867.24