Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $876.67 / $1,019.94	Facility		$687.60	$876.67	$1,019.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $816.47 / $1,019.94	Professional		$555.95	$816.47	$1,019.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $82.24 / $95.22	Professional		$82.24	$82.24	$95.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $90.76 / $90.76	Facility		$90.76	$90.76	$90.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $95.00 / $95.00	Facility		$64.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $83.43 / $5,096.25	Professional		$71.76	$83.43	$5,096.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.28 / $199.28	Facility		$100.00	$199.28	$199.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $341.18 / $341.18	Professional		$341.18	$341.18	$341.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $200.41 / $1,019.94	Facility		$92.08	$200.41	$1,019.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $95.58 / $896.80	Professional		$87.93	$95.58	$896.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $198.40 / $1,008.48	Facility		$89.68	$198.40	$1,008.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $107.28 / $178.24	Professional		$71.76	$107.28	$178.24
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $77.62 / $199.28	Professional		$50.71	$77.62	$199.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $945.27	Professional		$700.20	$700.20	$945.27