Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $3,150.00 / $7,587.72	Facility		$826.00	$3,150.00	$7,587.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $2,035.92 / $7,766.25	Professional		$676.00	$2,035.92	$7,766.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $319.70 / $708.67	Facility		$166.10	$319.70	$708.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $182.83 / $605.00 / $4,514.00	Facility		$182.83	$605.00	$4,514.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $560.91 / $560.91 / $560.91	Facility		$560.91	$560.91	$560.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $107.69 / $107.69	Professional		$107.69	$107.69	$107.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,044.17 / $8,044.17 / $8,044.17	Professional		$8,044.17	$8,044.17	$8,044.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.94 / $5,138.55 / $8,452.70	Facility		$253.94	$5,138.55	$8,452.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.94 / $2,024.00 / $2,530.00	Facility		$253.94	$2,024.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $107.69 / $107.69	Professional		$107.69	$107.69	$107.69
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $919.00 / $2,290.00	Facility		$144.00	$919.00	$2,290.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $750.00 / $750.00	Professional		$208.04	$750.00	$750.00