Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $98.07 / $12,534.92	Facility		$50.74	$98.07	$12,534.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $51.24 / $70.59	Professional		$50.74	$51.24	$70.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $120.75 / $238.55	Facility		$47.71	$120.75	$238.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $55.67 / $55.67	Professional		$55.67	$55.67	$55.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $138.13 / $5,689.12	Facility		$42.32	$138.13	$5,689.12
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $75.65 / $95.55	Professional		$50.74	$75.65	$95.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $50.74 / $50.74	Facility		$47.87	$50.74	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.02 / $245.90 / $253.70	Facility		$96.02	$245.90	$253.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.24 / $74.73	Facility		$35.09	$51.24	$74.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $50.74 / $92.05	Professional		$37.82	$50.74	$92.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $50.74 / $73.27	Facility		$42.25	$50.74	$73.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $50.74 / $89.20	Professional		$47.99	$50.74	$89.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $56.83 / $56.83	Professional		$40.59	$56.83	$56.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $68.50	Professional		$49.28	$49.28	$68.50