Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.94 / $316.62 / $657.07	Facility		$199.94	$316.62	$657.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $199.95 / $214.14	Professional		$169.96	$199.95	$214.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $215.34 / $429.65	Facility		$85.08	$215.34	$429.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $135.72 / $135.72	Professional		$135.72	$135.72	$135.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $242.59 / $390.30	Facility		$135.37	$242.59	$390.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $135.37 / $242.00	Professional		$135.37	$135.37	$242.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.60 / $115.60 / $115.60	Facility		$115.60	$115.60	$115.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $333.64 / $507.70 / $707.51	Facility		$333.64	$507.70	$707.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.47 / $199.95 / $285.93	Facility		$82.47	$199.95	$285.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.52 / $144.41 / $239.95	Professional		$138.52	$144.41	$239.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.86 / $186.76 / $285.93	Facility		$138.86	$186.76	$285.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $239.95	Professional		$186.76	$186.76	$239.95
United Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $196.77 / $199.95	Professional		$158.41	$196.77	$199.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $150.84 / $160.50	Professional		$111.73	$150.84	$160.50