Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,181.00 / $7,513.00	Facility		$500.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $289.30 / $313.43	Professional		$178.45	$289.30	$313.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $514.41 / $1,140.65	Facility		$306.73	$514.41	$1,140.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $51.03 / $60.04	Professional		$51.03	$51.03	$60.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $430.71 / $430.71 / $622.05	Facility		$430.71	$430.71	$622.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.88 / $1,862.05 / $1,862.05	Facility		$1,068.88	$1,862.05	$1,862.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.52 / $2,297.92 / $2,462.85	Professional		$2,051.52	$2,297.92	$2,462.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $65.03 / $353.13	Facility		$50.32	$65.03	$353.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $304.39	Professional		$47.92	$47.92	$304.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $289.30 / $407.78	Facility		$53.26	$289.30	$407.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.12 / $306.80 / $485.05	Professional		$218.12	$306.80	$485.05
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $295.07 / $451.33	Professional		$141.07	$295.07	$451.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $67.09 / $500.00	Professional		$47.92	$67.09	$500.00