Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.27 / $424.22 / $928.20	Facility		$184.27	$424.22	$928.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $184.27 / $274.02	Professional		$182.45	$184.27	$274.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.28 / $218.17 / $449.30	Facility		$94.28	$218.17	$449.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $176.75 / $176.75	Professional		$176.75	$176.75	$176.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $163.95 / $195.79 / $490.61	Facility		$163.95	$195.79	$490.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $186.70 / $186.70	Facility		$186.70	$186.70	$186.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $182.45 / $182.45	Facility		$172.12	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.60 / $1,058.95 / $1,058.95	Facility		$285.60	$1,058.95	$1,058.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.23 / $260.89 / $772.13	Facility		$84.23	$260.89	$772.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $182.45 / $333.37	Professional		$146.84	$182.45	$333.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $182.45 / $260.89	Facility		$97.38	$182.45	$260.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $182.45 / $330.68	Professional		$172.40	$182.45	$330.68
United Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Facility		$182.33	$182.33	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $184.18 / $246.31	Professional		$182.45	$184.18	$246.31