Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $123.14 / $371.42	Facility		$93.58	$123.14	$371.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $123.14 / $145.97	Professional		$104.67	$123.14	$145.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.90 / $250.32 / $494.60	Facility		$98.90	$250.32	$494.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $115.62	Professional		$115.62	$115.62	$115.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $463.77 / $463.77 / $463.77	Facility		$463.77	$463.77	$463.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $61.93 / $100.01	Professional		$57.65	$61.93	$100.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $90.09 / $90.09	Facility		$90.09	$90.09	$90.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.51 / $236.86 / $431.25	Facility		$112.51	$236.86	$431.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $116.98 / $153.93	Professional		$104.67	$116.98	$153.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $123.14 / $176.09	Facility		$65.39	$123.14	$176.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $115.07 / $176.09	Facility		$81.59	$115.07	$176.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $115.07 / $115.07	Professional		$83.96	$115.07	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $121.23 / $123.14	Professional		$97.60	$121.23	$123.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $97.88 / $132.13	Professional		$97.88	$97.88	$132.13