Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,467.37 / $8,317.64	Facility		$870.96	$3,467.37	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,071.52 / $4,570.88	Professional		$309.03	$1,071.52	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $2,238.72	Facility		$562.34	$1,047.13	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $81.28	Professional		$67.61	$81.28	$81.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $47.86	Facility		$38.90	$38.90	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,570.40 / $7,585.78	Facility		$707.95	$2,570.40	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,071.52 / $6,760.83	Professional		$309.03	$1,071.52	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69