Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $134.22 / $175.48	Facility		$77.39	$134.22	$175.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $78.16 / $125.17	Professional		$77.39	$78.16	$125.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $80.20 / $80.20	Professional		$80.20	$80.20	$80.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $77.39 / $123.82	Professional		$72.26	$77.39	$123.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $77.39 / $77.39	Facility		$73.01	$77.39	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $375.85 / $375.85	Facility		$102.82	$375.85	$375.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $110.67 / $113.99	Facility		$77.27	$110.67	$113.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $77.39 / $140.13	Professional		$57.95	$77.39	$140.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $77.39 / $111.77	Facility		$73.01	$77.39	$111.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $77.39 / $138.69	Professional		$73.06	$77.39	$138.69
United Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $86.68 / $86.68	Professional		$61.91	$86.68	$86.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $76.63 / $104.48	Professional		$76.63	$76.63	$104.48