Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $104.45 / $324.70	Facility		$60.60	$104.45	$324.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.60 / $135.85	Professional		$60.00	$60.60	$135.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.12 / $491.32 / $970.60	Facility		$194.12	$491.32	$970.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $86.74 / $86.74	Professional		$86.74	$86.74	$86.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $97.07 / $218.41	Facility		$45.32	$97.07	$218.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $60.00 / $60.00	Facility		$56.61	$60.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.68 / $367.35 / $367.35	Facility		$153.68	$367.35	$367.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $85.80 / $97.07	Facility		$22.65	$85.80	$97.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $72.80 / $109.06	Professional		$56.86	$72.80	$109.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $60.00 / $85.80	Facility		$38.57	$60.00	$85.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $74.28	Professional		$60.00	$60.00	$74.28
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $41.04 / $97.07	Professional		$41.04	$41.04	$97.07