Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $685.41 / $1,562.96	Facility		$392.06	$685.41	$1,562.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $546.87	Professional		$392.06	$395.98	$546.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.80 / $751.20 / $1,484.00	Facility		$296.80	$751.20	$1,484.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.19 / $388.19 / $388.19	Professional		$388.19	$388.19	$388.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $326.23 / $671.66	Facility		$132.88	$326.23	$671.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $392.06 / $392.06	Facility		$369.87	$392.06	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $509.32 / $1,921.09 / $1,960.30	Facility		$509.32	$1,921.09	$1,960.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $392.06 / $577.46	Facility		$75.72	$392.06	$577.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.06 / $392.06 / $710.60	Professional		$293.06	$392.06	$710.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $392.06 / $560.65	Facility		$97.68	$392.06	$560.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $392.06 / $693.07	Professional		$370.48	$392.06	$693.07
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.91 / $382.91 / $529.28	Professional		$382.91	$382.91	$529.28