Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.19 / $836.47 / $1,232.92	Facility		$601.19	$836.47	$1,232.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $836.47 / $1,032.19	Professional		$836.47	$836.47	$1,032.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.13 / $1,884.99 / $3,206.93	Facility		$687.13	$1,884.99	$3,206.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $587.28 / $734.10 / $1,321.38	Facility		$587.28	$734.10	$1,321.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $2,188.23	Facility		$836.47	$1,032.19	$2,188.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $2,188.23	Facility		$836.47	$1,032.19	$2,188.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.54 / $343.54 / $463.78	Professional		$343.54	$343.54	$463.78