Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $185.87 / $914.43	Facility		$53.61	$185.87	$914.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $64.33	Professional		$53.08	$53.61	$64.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $157.44 / $314.16	Facility		$64.70	$157.44	$314.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $43.20	Professional		$43.20	$43.20	$43.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $119.43 / $285.39 / $291.72	Facility		$119.43	$285.39	$291.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Facility		$74.31	$74.31	$74.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $522.91 / $522.91	Facility		$75.00	$522.91	$522.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $75.90 / $186.53	Facility		$53.08	$75.90	$186.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.13 / $96.07	Professional		$39.81	$50.13	$96.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $78.94	Facility		$47.49	$47.49	$78.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $57.58	Professional		$47.49	$47.49	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $71.66	Professional		$53.08	$53.08	$71.66