Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $223.87	Facility		$141.25	$151.36	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $223.87	Professional		$131.83	$177.83	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $41.69 / $91.20	Facility		$22.39	$41.69	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $19.05	Professional		$16.60	$17.38	$19.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $26.92	Professional		$25.12	$26.92	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Facility		$251.19	$251.19	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,288.25 / $1,288.25	Facility		$380.19	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $131.83 / $288.40	Facility		$25.70	$131.83	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $223.87	Professional		$131.83	$194.98	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $81.28 / $257.04	Professional		$22.91	$81.28	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $151.36 / $288.40	Facility		$24.55	$151.36	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $177.83	Professional		$79.43	$151.36	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $93.33 / $173.78	Facility		$13.18	$93.33	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $269.15	Professional		$91.20	$141.25	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98