Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,548.13 / $7,585.78	Facility		$912.01	$3,548.13	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $2,041.74 / $7,762.47	Professional		$275.42	$2,041.74	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $724.44	Facility		$173.78	$331.13	$724.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $1,584.89	Facility		$251.19	$426.58	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
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 $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,570.40 / $8,128.31	Facility		$630.96	$2,570.40	$8,128.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,659.59 / $7,585.78	Professional		$275.42	$1,659.59	$7,585.78
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 $251.19 / $263.03 / $891.25	Facility		$251.19	$263.03	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $107.15	Professional		$60.26	$79.43	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93