Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $128.38 / $443.98	Facility		$60.91	$128.38	$443.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $124.60 / $186.77	Professional		$123.36	$124.60	$186.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.17 / $256.06 / $510.91	Facility		$101.17	$256.06	$510.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $90.12 / $90.12	Professional		$90.12	$90.12	$90.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $86.47 / $135.97 / $347.04	Facility		$86.47	$135.97	$347.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.63 / $71.63 / $71.63	Facility		$71.63	$71.63	$71.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $123.36 / $123.36	Facility		$116.38	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.10 / $505.07 / $505.07	Facility		$164.10	$505.07	$505.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $176.40 / $620.88	Facility		$60.26	$176.40	$620.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $123.36 / $223.38	Professional		$101.98	$123.36	$223.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $123.36 / $178.18	Facility		$83.61	$123.36	$178.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $123.36 / $207.05	Professional		$116.46	$123.36	$207.05
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $114.39 / $166.54	Professional		$114.39	$114.39	$166.54