Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $117.79 / $261.89	Facility		$79.86	$117.79	$261.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $117.79 / $136.00	Professional		$98.16	$117.79	$136.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $103.08 / $208.75	Facility		$37.95	$103.08	$208.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $71.93 / $71.93	Professional		$71.93	$71.93	$71.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $50.85 / $83.49	Facility		$19.60	$50.85	$83.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.16 / $157.06	Professional		$83.49	$98.16	$157.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $175.78 / $289.73	Facility		$90.59	$175.78	$289.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $98.16 / $129.16	Professional		$87.83	$98.16	$129.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $83.49 / $147.76	Facility		$35.82	$83.49	$147.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $92.62 / $98.16	Professional		$58.40	$92.62	$98.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.04 / $96.58 / $168.44	Facility		$56.04	$96.58	$168.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $98.16	Professional		$96.58	$96.58	$98.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $101.75 / $103.33	Professional		$81.92	$101.75	$103.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $132.52	Professional		$66.06	$66.06	$132.52