Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $330.04 / $1,273.92	Facility		$70.59	$330.04	$1,273.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $58.97	Professional		$53.08	$53.61	$58.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.21 / $143.71 / $301.72	Facility		$62.21	$143.71	$301.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $62.21 / $62.21	Professional		$62.21	$62.21	$62.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $53.08 / $610.74	Facility		$49.98	$53.08	$610.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.06 / $208.06 / $208.06	Facility		$208.06	$208.06	$208.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $282.33 / $282.33	Facility		$75.00	$282.33	$282.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $75.90 / $375.19	Facility		$52.49	$75.90	$375.19
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 $45.90 / $45.90 / $78.18	Facility		$45.90	$45.90	$78.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $57.58	Professional		$45.90	$45.90	$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