Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $168.04 / $828.00	Facility		$70.43	$168.04	$828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $70.43 / $88.55	Professional		$69.73	$70.43	$88.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $380.16 / $754.00	Facility		$150.19	$380.16	$754.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Professional		$64.80	$64.80	$64.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $222.90 / $222.90 / $222.90	Facility		$222.90	$222.90	$222.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $95.63	Facility		$65.78	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $350.53 / $350.53	Facility		$200.27	$350.53	$350.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $73.20 / $99.71	Facility		$47.36	$73.20	$99.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $73.20 / $126.65	Professional		$69.73	$73.20	$126.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $69.73 / $95.63	Facility		$61.60	$69.73	$95.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $73.20 / $100.86	Professional		$69.73	$73.20	$100.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $69.73 / $69.73	Professional		$41.84	$69.73	$69.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $79.39 / $82.37	Professional		$69.73	$79.39	$82.37