Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $964.12 / $5,055.00	Facility		$113.95	$964.12	$5,055.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $71.28 / $120.97	Professional		$47.42	$71.28	$120.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $262.08 / $592.33	Facility		$124.06	$262.08	$592.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $70.29 / $109.06	Professional		$47.03	$70.29	$109.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $75.33 / $218.92 / $507.04	Facility		$75.33	$218.92	$507.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $95.66 / $169.27	Professional		$52.88	$95.66	$169.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $84.48 / $88.64	Facility		$52.92	$84.48	$88.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $89.35 / $133.47	Professional		$59.02	$89.35	$133.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $283.39	Facility		$55.00	$55.00	$283.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $615.20 / $727.88	Professional		$402.88	$615.20	$727.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $79.34 / $119.91	Facility		$52.26	$79.34	$119.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $104.31 / $155.22	Professional		$68.34	$104.31	$155.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $79.34 / $119.59	Facility		$52.26	$79.34	$119.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $93.73 / $152.90	Professional		$60.59	$93.73	$152.90
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 $63.61 / $84.81 / $129.00	Professional		$63.61	$84.81	$129.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $80.08 / $112.11	Professional		$71.22	$80.08	$112.11