Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,412.54 / $2,630.27	Facility		$186.21	$1,412.54	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $602.56	Professional		$79.43	$141.25	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $281.84	Facility		$61.66	$75.86	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,445.44	Facility		$954.99	$954.99	$1,445.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $100.00	Professional		$69.18	$93.33	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $1,548.82	Facility		$74.13	$173.78	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $446.68	Professional		$74.13	$117.49	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,258.93	Professional		$794.33	$794.33	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $194.98 / $1,071.52	Facility		$87.10	$194.98	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $251.19 / $707.95	Professional		$87.10	$251.19	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $602.56	Facility		$87.10	$162.18	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $446.68	Professional		$74.13	$114.82	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $181.97	Facility		$70.79	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50