Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $1,354.32 / $3,702.42	Facility		$532.00	$1,354.32	$3,702.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $532.00 / $912.00	Professional		$425.60	$532.00	$912.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.00 / $2,120.40 / $3,982.40	Facility		$836.00	$2,120.40	$3,982.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $402.80 / $608.00	Professional		$5.00	$402.80	$608.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $684.00 / $765.00	Professional		$532.00	$684.00	$765.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $760.00 / $760.00	Facility		$80.00	$760.00	$760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.73 / $1,744.15 / $3,386.60	Facility		$414.73	$1,744.15	$3,386.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $391.00 / $1,153.78	Professional		$279.73	$391.00	$1,153.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.60 / $760.00 / $1,140.00	Facility		$463.60	$760.00	$1,140.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $760.00 / $950.00	Professional		$722.00	$760.00	$950.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $815.10 / $2,610.46	Facility		$456.00	$815.10	$2,610.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $632.21 / $1,153.78	Professional		$285.35	$632.21	$1,153.78
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $319.20 / $486.40	Professional		$252.88	$319.20	$486.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $760.00	Professional		$304.00	$304.00	$760.00