Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $511.60 / $2,369.04	Facility		$292.33	$511.60	$2,369.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $299.64 / $419.32	Professional		$292.33	$299.64	$419.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.56 / $1,087.22 / $2,169.28	Facility		$429.56	$1,087.22	$2,169.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $195.94 / $322.27 / $1,231.00	Facility		$195.94	$322.27	$1,231.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $1,581.00 / $1,581.00	Facility		$372.88	$1,581.00	$1,581.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.22 / $299.64 / $428.49	Facility		$190.22	$299.64	$428.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $274.07 / $467.30	Professional		$243.62	$274.07	$467.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $310.61 / $428.49	Facility		$205.06	$310.61	$428.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.07 / $310.61 / $386.78	Professional		$274.07	$310.61	$386.78
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $298.30	Professional		$298.30	$298.30	$298.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $402.71	Professional		$298.30	$298.30	$402.71