Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,316.00	Facility		$488.00	$2,181.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $147.80 / $235.65	Professional		$128.53	$147.80	$235.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.72 / $1,002.38 / $2,113.30	Facility		$498.72	$1,002.38	$2,113.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $311.12 / $311.12	Professional		$264.45	$311.12	$311.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $92.79 / $338.70 / $515.36	Facility		$92.79	$338.70	$515.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.59 / $670.59 / $670.59	Facility		$670.59	$670.59	$670.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $200.51 / $306.39	Professional		$148.08	$200.51	$306.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,649.80 / $12,000.00 / $12,000.00	Facility		$2,649.80	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $1,992.01 / $2,046.59	Professional		$1,900.00	$1,992.01	$2,046.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $191.28 / $305.81	Facility		$138.04	$191.28	$305.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $2,042.00 / $4,336.00	Professional		$138.24	$2,042.00	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $191.28 / $332.12	Facility		$138.04	$191.28	$332.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $201.87 / $305.97	Professional		$148.50	$201.87	$305.97
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,669.00 / $4,090.00	Facility		$438.00	$1,669.00	$4,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $152.30 / $251.78	Professional		$108.38	$152.30	$251.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.39 / $177.39 / $239.48	Professional		$177.39	$177.39	$239.48