Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $156.37 / $198.47	Facility		$133.80	$156.37	$198.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $149.41 / $198.47	Professional		$112.39	$149.41	$198.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $104.64 / $225.00	Facility		$41.93	$104.64	$225.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $42.86	Professional		$41.12	$41.12	$42.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $55.00	Professional		$15.00	$15.00	$55.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $42.07 / $42.07	Facility		$42.07	$42.07	$42.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $147.10 / $147.10	Facility		$64.00	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $291.04 / $761.52	Facility		$76.00	$291.04	$761.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $543.62 / $959.04 / $959.04	Professional		$543.62	$959.04	$959.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $47.79 / $198.47	Facility		$22.25	$47.79	$198.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $22.67 / $55.20	Professional		$19.37	$22.67	$55.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $47.79 / $198.47	Facility		$14.31	$47.79	$198.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $107.38 / $147.10	Professional		$24.82	$107.38	$147.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $14.84 / $31.79	Professional		$9.82	$14.84	$31.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $222.56	Professional		$164.86	$164.86	$222.56