Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.06 / $2,113.50 / $7,316.00	Facility		$293.06	$2,113.50	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $171.37 / $294.11	Professional		$114.02	$171.37	$294.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $193.88 / $607.48	Facility		$95.47	$193.88	$607.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $182.68 / $295.67	Professional		$106.18	$182.68	$295.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $124.37 / $246.64	Facility		$62.80	$124.37	$246.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $113.22 / $225.35	Facility		$113.22	$113.22	$225.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.25 / $218.75 / $329.87	Professional		$135.25	$218.75	$329.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $650.61	Facility		$55.00	$55.00	$650.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.00 / $2,772.20 / $2,772.20	Professional		$2,473.00	$2,772.20	$2,772.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $202.31 / $314.57	Facility		$122.47	$202.31	$314.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $254.90 / $397.09	Professional		$159.31	$254.90	$397.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $202.31 / $319.17	Facility		$122.47	$202.31	$319.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $230.38 / $394.94	Professional		$141.37	$230.38	$394.94
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 $162.56 / $219.42 / $325.12	Professional		$162.56	$219.42	$325.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $205.05 / $287.07	Professional		$182.21	$205.05	$287.07