Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $5,580.00 / $21,859.14	Facility		$402.26	$5,580.00	$21,859.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $402.26 / $402.26	Professional		$279.85	$402.26	$402.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.12 / $820.35 / $1,636.81	Facility		$324.12	$820.35	$1,636.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.23 / $369.23 / $369.23	Professional		$369.23	$369.23	$369.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,519.86 / $1,519.86 / $1,519.86	Facility		$1,519.86	$1,519.86	$1,519.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,720.85 / $2,720.85 / $2,720.85	Facility		$2,720.85	$2,720.85	$2,720.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $375.45 / $375.45	Facility		$264.01	$375.45	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $372.25 / $1,399.25 / $1,449.55	Facility		$372.25	$1,399.25	$1,449.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $402.26 / $764.98	Facility		$84.58	$402.26	$764.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.41 / $264.41 / $279.85	Professional		$264.41	$264.41	$279.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.65 / $375.45 / $419.78	Facility		$215.65	$375.45	$419.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $375.45 / $375.45	Professional		$279.85	$375.45	$375.45
United Facility/Professional Professional Modifier Low / Median / High Price $265.86 / $330.22 / $816.60	Professional		$265.86	$330.22	$816.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $335.22 / $377.80	Professional		$279.85	$335.22	$377.80