Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $2,131.00 / $7,316.00	Facility		$474.00	$2,131.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $160.26 / $749.38	Professional		$141.10	$160.26	$749.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $570.84 / $1,232.57	Facility		$279.95	$570.84	$1,232.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $37.29 / $37.29	Professional		$31.70	$37.29	$37.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.47 / $164.38 / $8,000.00	Facility		$56.47	$164.38	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $507.82 / $1,525.91 / $1,663.88	Facility		$507.82	$1,525.91	$1,663.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.64 / $220.31 / $1,013.32	Facility		$87.64	$220.31	$1,013.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $85.74 / $214.41	Professional		$85.74	$85.74	$214.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $220.31 / $896.10	Facility		$141.00	$220.31	$896.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $214.41 / $214.41	Professional		$214.41	$214.41	$214.41
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $51.27 / $72.00	Professional		$35.19	$51.27	$72.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $161.91 / $1,209.74	Professional		$161.91	$161.91	$1,209.74