Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.88 / $4,895.18 / $7,691.78	Facility		$427.88	$4,895.18	$7,691.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $427.88 / $427.88	Professional		$222.25	$427.88	$427.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.34 / $960.11 / $1,915.67	Facility		$379.34	$960.11	$1,915.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.75 / $295.75 / $295.75	Professional		$295.75	$295.75	$295.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $259.92 / $3,855.26	Facility		$222.25	$259.92	$3,855.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,356.85 / $3,356.85 / $3,356.85	Facility		$3,356.85	$3,356.85	$3,356.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $399.36 / $399.36	Facility		$209.67	$399.36	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.70 / $1,111.25 / $1,205.75	Facility		$363.70	$1,111.25	$1,205.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $427.88 / $611.87	Facility		$237.10	$427.88	$611.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $222.25	Professional		$210.00	$210.00	$222.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $399.36 / $611.87	Facility		$209.67	$399.36	$611.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $399.36 / $399.36	Professional		$222.25	$399.36	$399.36
United Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $262.26 / $427.88	Professional		$211.14	$262.26	$427.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.10 / $250.52 / $300.04	Professional		$237.10	$250.52	$300.04