Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $123.78 / $186.48	Facility		$78.80	$123.78	$186.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $79.58 / $114.35	Professional		$78.80	$79.58	$114.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $74.31 / $148.27	Facility		$29.36	$74.31	$148.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $91.71 / $91.71	Professional		$74.00	$91.71	$91.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $109.26 / $126.08	Professional		$60.88	$109.26	$126.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $78.79 / $78.79	Facility		$74.33	$78.79	$78.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $394.00 / $405.05	Facility		$116.08	$394.00	$405.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $81.70 / $116.06	Facility		$30.48	$81.70	$116.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $78.80 / $147.38	Professional		$61.28	$78.80	$147.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $78.79 / $113.80	Facility		$35.71	$78.79	$113.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $78.79 / $143.06	Professional		$74.58	$78.79	$143.06
United Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $88.26 / $88.26	Professional		$63.04	$88.26	$88.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $81.43 / $106.38	Professional		$81.43	$81.43	$106.38