Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,759.00 / $7,542.00	Facility		$669.00	$2,759.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.51 / $344.96 / $383.93	Professional		$310.51	$344.96	$383.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.82 / $2,660.90 / $7,491.01	Facility		$2,313.82	$2,660.90	$7,491.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,313.82 / $2,313.82 / $2,313.82	Professional		$2,313.82	$2,313.82	$2,313.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $932.40 / $3,120.41 / $4,265.27	Facility		$932.40	$3,120.41	$4,265.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $417.74	Facility		$417.74	$417.74	$417.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.42 / $1,646.42 / $1,646.42	Professional		$1,646.42	$1,646.42	$1,646.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.85 / $11,319.49 / $12,968.70	Facility		$1,726.85	$11,319.49	$12,968.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.67 / $2,815.76 / $3,183.83	Professional		$2,571.67	$2,815.76	$3,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.70 / $358.02 / $626.54	Facility		$267.70	$358.02	$626.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $257.17 / $402.80	Professional		$257.17	$257.17	$402.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.01 / $369.82 / $726.16	Facility		$273.01	$369.82	$726.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $477.92 / $1,646.42	Professional		$402.80	$477.92	$1,646.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.55 / $395.38 / $634.40	Professional		$287.55	$395.38	$634.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $337.26 / $476.62	Professional		$89.60	$337.26	$476.62