Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.18 / $702.97 / $874.35	Facility		$315.18	$702.97	$874.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $115.08 / $125.10	Professional		$90.79	$115.08	$125.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $104.64 / $107.15	Professional		$104.64	$104.64	$107.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.02 / $325.07 / $678.63	Facility		$240.02	$325.07	$678.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $878.22 / $878.22 / $1,071.53	Professional		$878.22	$878.22	$1,071.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $135.97 / $142.87	Facility		$102.46	$135.97	$142.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $135.72 / $164.30	Professional		$121.44	$135.72	$164.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $128.36 / $142.87	Facility		$106.04	$128.36	$142.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $119.86	Professional		$58.29	$58.29	$119.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $67.09 / $111.81	Professional		$50.49	$67.09	$111.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $142.87 / $192.87	Professional		$142.87	$142.87	$192.87