Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.90 / $622.28 / $842.39	Facility		$567.90	$622.28	$842.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.83 / $634.16 / $842.39	Professional		$487.83	$634.16	$842.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $67.59 / $67.59	Professional		$58.41	$67.59	$67.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $106.60 / $106.60	Professional		$106.60	$106.60	$106.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $994.90 / $994.90 / $994.90	Facility		$994.90	$994.90	$994.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $846.27	Facility		$546.85	$546.85	$846.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $739.60 / $867.43	Professional		$86.69	$739.60	$867.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,832.04 / $5,046.28 / $5,230.27	Facility		$1,832.04	$5,046.28	$5,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $437.85 / $773.52	Facility		$82.80	$437.85	$773.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $372.36 / $1,153.68	Professional		$91.53	$372.36	$1,153.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $437.85 / $773.52	Facility		$85.85	$437.85	$773.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $546.85 / $739.60	Professional		$81.44	$546.85	$739.60
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $63.59 / $528.36	Professional		$42.51	$63.59	$528.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $677.47 / $692.28 / $692.28	Professional		$677.47	$692.28	$692.28