Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $121.65 / $123.81	Facility		$115.34	$121.65	$123.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $115.34 / $123.81	Professional		$88.36	$115.34	$123.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.46 / $716.46 / $716.46	Professional		$716.46	$716.46	$716.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $2,600.00	Facility		$2,600.00	$2,600.00	$2,600.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $213.07	Professional		$130.00	$130.00	$213.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $163.36 / $470.81 / $538.89	Facility		$163.36	$470.81	$538.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $746.58 / $746.58 / $824.48	Professional		$746.58	$746.58	$824.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $151.32 / $244.52	Facility		$115.34	$151.32	$244.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $73.44 / $141.86	Professional		$73.44	$73.44	$141.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $147.00 / $345.29	Facility		$95.47	$147.00	$345.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $73.44 / $73.44	Professional		$73.44	$73.44	$73.44
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $167.17 / $263.35	Professional		$127.37	$167.17	$263.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $199.30 / $269.36	Professional		$141.86	$199.30	$269.36