Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $53.44 / $54.46	Facility		$52.41	$53.44	$54.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $54.46 / $88.37	Professional		$51.38	$54.46	$88.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $69.88 / $69.88	Professional		$55.85	$69.88	$69.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $88.01 / $117.35	Professional		$82.15	$88.01	$117.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.35 / $117.35 / $117.35	Facility		$117.35	$117.35	$117.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $75.80	Professional		$55.33	$55.33	$75.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $563.66 / $682.34 / $682.34	Facility		$563.66	$682.34	$682.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $705.15 / $808.05	Professional		$689.52	$705.15	$808.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $81.19 / $117.35	Facility		$34.70	$81.19	$117.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $105.62 / $126.94	Professional		$34.70	$105.62	$126.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $78.41 / $117.35	Facility		$34.70	$78.41	$117.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $80.80	Professional		$55.33	$55.33	$80.80
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $64.78 / $78.41	Professional		$44.79	$64.78	$78.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $64.55 / $117.35	Professional		$64.34	$64.55	$117.35