Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,184.00 / $10,836.00	Facility		$727.00	$3,184.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.72 / $435.24 / $631.24	Professional		$368.72	$435.24	$631.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,628.82 / $2,724.17 / $6,612.00	Facility		$1,628.82	$2,724.17	$6,612.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.99 / $336.99 / $396.46	Professional		$336.99	$336.99	$396.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $473.77 / $2,061.44 / $8,100.00	Facility		$473.77	$2,061.44	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.97 / $577.54 / $877.56	Professional		$454.97	$577.54	$877.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,241.94 / $26,542.00 / $26,542.00	Facility		$2,241.94	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,504.08 / $3,591.68 / $4,197.89	Professional		$3,504.08	$3,591.68	$4,197.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.42 / $451.78 / $704.77	Facility		$361.42	$451.78	$704.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.14 / $335.14 / $464.24	Professional		$335.14	$335.14	$464.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.90 / $469.85 / $748.24	Facility		$363.90	$469.85	$748.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.97 / $594.19 / $903.98	Professional		$454.97	$594.19	$903.98
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $430.19 / $609.64	Professional		$322.64	$430.19	$609.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.14 / $469.20 / $489.59	Professional		$335.14	$469.20	$489.59