Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $105.20 / $48,346.06	Facility		$59.41	$105.20	$48,346.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $60.01 / $82.01	Professional		$59.40	$60.01	$82.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $138.52 / $273.26	Facility		$57.90	$138.52	$273.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $65.44	Professional		$65.44	$65.44	$65.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $99.07 / $30,967.35	Facility		$55.65	$99.07	$30,967.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $66.05 / $95.06	Professional		$59.41	$66.05	$95.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $27,429.00 / $27,429.00 / $27,429.00	Facility		$27,429.00	$27,429.00	$27,429.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $59.41 / $59.41	Facility		$56.05	$59.41	$59.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $289.05 / $297.05	Facility		$76.90	$289.05	$297.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $84.96 / $87.52	Facility		$59.70	$84.96	$87.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $59.41 / $107.87	Professional		$44.78	$59.41	$107.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $59.41 / $85.81	Facility		$56.05	$59.41	$85.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $59.41 / $106.37	Professional		$56.24	$59.41	$106.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.77 / $58.77 / $80.20	Professional		$58.77	$58.77	$80.20