Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $45.48 / $46.36	Facility		$44.61	$45.48	$46.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $46.36 / $73.36	Professional		$41.99	$46.36	$73.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $59.48 / $59.48	Professional		$47.54	$59.48	$59.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $74.92 / $99.89	Professional		$69.92	$74.92	$99.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.89 / $99.89 / $99.89	Facility		$99.89	$99.89	$99.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $66.78	Professional		$48.75	$48.75	$66.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.84 / $471.51 / $556.61	Facility		$216.84	$471.51	$556.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $684.99 / $684.99	Professional		$668.93	$684.99	$684.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $69.13 / $99.89	Facility		$28.31	$69.13	$99.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $89.90 / $108.71	Professional		$28.31	$89.90	$108.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $66.78 / $99.89	Facility		$28.31	$66.78	$99.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $71.18	Professional		$48.75	$48.75	$71.18
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $117.18	Facility		$99.60	$99.60	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $54.05 / $62.90	Professional		$36.54	$54.05	$62.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.66 / $99.89	Professional		$52.58	$52.66	$99.89