Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.46 / $1,549.00 / $2,577.00	Facility		$124.46	$1,549.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $131.82 / $475.00	Professional		$76.15	$131.82	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.35 / $62.35 / $263.12	Facility		$62.35	$62.35	$263.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $62.35 / $62.35	Professional		$62.35	$62.35	$62.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $74.26 / $100.00	Professional		$18.37	$74.26	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $20.17	Facility		$20.17	$20.17	$20.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.61 / $310.95 / $1,564.14	Facility		$93.61	$310.95	$1,564.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $102.51 / $375.00	Professional		$68.97	$102.51	$375.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $202.88 / $2,600.00 / $2,600.00	Facility		$202.88	$2,600.00	$2,600.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $796.95 / $1,257.00 / $1,257.00	Professional		$796.95	$1,257.00	$1,257.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $142.84 / $476.50	Facility		$76.15	$142.84	$476.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $403.65 / $1,278.90	Professional		$76.93	$403.65	$1,278.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $140.34 / $550.00	Facility		$76.15	$140.34	$550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $102.51 / $400.00	Professional		$72.97	$102.51	$400.00