Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $255.79 / $353.31	Facility		$165.83	$255.79	$353.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $167.49 / $226.66	Professional		$165.83	$167.49	$226.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $270.02 / $535.75	Facility		$107.15	$270.02	$535.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $229.15 / $9,701.54	Facility		$118.63	$229.15	$9,701.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.31 / $816.85 / $829.15	Facility		$217.31	$816.85	$829.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $237.14 / $244.26	Facility		$161.96	$237.14	$244.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $165.83 / $300.77	Professional		$121.47	$165.83	$300.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $239.51	Facility		$156.44	$165.83	$239.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $165.83 / $282.31	Professional		$156.81	$165.83	$282.31
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $155.97 / $223.87	Professional		$155.97	$155.97	$223.87