Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $11,748.98	Facility		$812.83	$3,235.94	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $831.76	Professional		$346.74	$512.86	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,659.59	Facility		$446.68	$758.58	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $676.08	Professional		$302.00	$426.58	$676.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $707.95	Professional		$346.74	$346.74	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $549.54	Facility		$354.81	$354.81	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $776.25	Professional		$371.54	$549.54	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $45,708.82 / $45,708.82	Facility		$2,511.89	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $3,890.45	Facility		$363.08	$602.56	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,047.13	Professional		$363.08	$575.44	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $812.83	Facility		$346.74	$524.81	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $831.76	Professional		$380.19	$549.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $660.69	Professional		$309.03	$446.68	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54