Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.35 / $3,601.00 / $11,453.00	Facility		$670.35	$3,601.00	$11,453.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.00 / $7,372.11 / $10,478.94	Facility	50	$3,090.00	$7,372.11	$10,478.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.16 / $560.84 / $913.38	Professional		$467.16	$560.84	$913.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $887.94 / $3,170.23	Professional	50	$252.52	$887.94	$3,170.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,501.21 / $2,547.69 / $5,371.27	Facility		$1,501.21	$2,547.69	$5,371.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.56 / $637.39 / $895.25	Professional		$503.56	$637.39	$895.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,853.20 / $4,768.35	Facility		$725.00	$1,853.20	$4,768.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $469.83 / $2,052.23 / $2,052.23	Facility		$469.83	$2,052.23	$2,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.60 / $700.99 / $1,043.53	Professional		$542.60	$700.99	$1,043.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,773.22 / $26,542.00 / $26,542.00	Facility		$3,773.22	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,001.52 / $4,504.96 / $5,163.00	Professional		$4,001.52	$4,504.96	$5,163.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.88 / $651.77 / $931.10	Facility		$507.88	$651.77	$931.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $879.57 / $1,118.46	Professional		$625.29	$879.57	$1,118.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.51 / $651.77 / $963.23	Facility		$503.51	$651.77	$963.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.99 / $744.88 / $1,160.30	Professional		$568.99	$744.88	$1,160.30
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.05 / $629.40 / $957.32	Professional		$472.05	$629.40	$957.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $513.21 / $580.15 / $812.21	Professional		$513.21	$580.15	$812.21