Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,387.85 / $7,513.00	Facility		$689.00	$2,387.85	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $843.00 / $2,532.00	Professional		$196.70	$843.00	$2,532.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.17 / $1,199.29 / $2,589.55	Facility		$653.17	$1,199.29	$2,589.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $758.64 / $1,499.23 / $5,069.04	Facility		$758.64	$1,499.23	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $858.08 / $858.08 / $858.08	Facility		$858.08	$858.08	$858.08
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 $568.94 / $568.94 / $568.94	Professional		$568.94	$568.94	$568.94
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 $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $55.81 / $55.81	Facility		$55.81	$55.81	$55.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $2,042.00 / $4,336.00	Professional		$910.00	$2,042.00	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $2,024.00 / $2,530.00	Facility		$55.81	$2,024.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.94 / $568.94 / $568.94	Professional		$568.94	$568.94	$568.94
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,260.00	Facility		$369.00	$1,513.00	$3,260.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.02 / $750.00 / $750.00	Professional		$219.02	$750.00	$750.00