Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $290.01 / $1,016.08	Facility		$143.91	$290.01	$1,016.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $161.36 / $261.67	Professional		$122.11	$161.36	$261.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $625.83 / $1,142.63	Facility		$218.06	$625.83	$1,142.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $115.57 / $213.70	Professional		$5.00	$115.57	$213.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $327.08 / $466.81	Facility		$218.06	$327.08	$466.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $213.70 / $213.70	Facility		$213.70	$213.70	$213.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $433.72 / $970.83	Facility		$140.52	$433.72	$970.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $122.79 / $415.47	Professional		$88.94	$122.79	$415.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.90 / $1,035.79 / $1,035.79	Facility		$348.90	$1,035.79	$1,035.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $218.06 / $239.87	Facility		$122.11	$218.06	$239.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $218.06 / $218.06	Professional		$196.25	$218.06	$218.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $218.06 / $303.10	Facility		$115.57	$218.06	$303.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $196.25 / $230.05	Professional		$111.62	$196.25	$230.05
United Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $218.06 / $272.58	Facility		$76.31	$218.06	$272.58
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $130.84	Professional		$91.59	$91.59	$130.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $87.22 / $218.06	Professional		$85.04	$87.22	$218.06