Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.14 / $2,315.00 / $7,495.00	Facility		$168.14	$2,315.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $133.72 / $205.82	Professional		$96.00	$133.72	$205.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $274.33 / $623.79	Facility		$148.52	$274.33	$623.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $144.53 / $248.46	Professional		$98.53	$144.53	$248.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $249.78 / $888.78	Facility		$170.83	$249.78	$888.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $239.76 / $239.76	Facility		$99.65	$239.76	$239.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $165.84 / $241.83	Professional		$118.43	$165.84	$241.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $757.20 / $16,394.00 / $16,394.00	Facility		$757.20	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $799.20 / $1,123.68 / $1,321.35	Professional		$799.20	$1,123.68	$1,321.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $147.76 / $219.94	Facility		$104.97	$147.76	$219.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $200.95 / $282.77	Professional		$135.05	$200.95	$282.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $147.91 / $220.09	Facility		$104.97	$147.91	$220.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $175.36 / $279.32	Professional		$120.56	$175.36	$279.32
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 $115.15 / $153.68 / $234.18	Professional		$115.15	$153.68	$234.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $129.75 / $205.32	Professional		$129.75	$129.75	$205.32