Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.02 / $280.66 / $379.76	Facility		$256.02	$280.66	$379.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $270.98 / $379.76	Professional		$143.85	$270.98	$379.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $86.17 / $177.13	Facility		$66.34	$86.17	$177.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $47.62	Professional		$41.12	$41.12	$47.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $64.00	Facility		$38.00	$38.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $80.00 / $80.00	Facility		$76.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $54.59 / $54.59	Professional		$54.59	$54.59	$54.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $47.79 / $368.03	Facility		$21.83	$47.79	$368.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $32.35 / $143.10	Professional		$14.31	$32.35	$143.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $47.79 / $375.50	Facility		$14.31	$47.79	$375.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $66.81 / $66.81	Professional		$36.43	$66.81	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $19.30 / $31.79	Professional		$15.45	$19.30	$31.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $280.10 / $378.14	Professional		$280.10	$280.10	$378.14