Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $501.19	Facility		$74.13	$144.54	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $190.55	Professional		$61.66	$93.33	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $457.09	Facility		$100.00	$239.88	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $91.20	Professional		$81.28	$91.20	$91.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $251.19	Facility		$120.23	$125.89	$251.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $117.49 / $117.49	Facility		$109.65	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $120.23	Facility		$60.26	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $186.21	Professional		$89.13	$117.49	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $912.01	Professional		$707.95	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $204.17	Facility		$70.79	$109.65	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $218.78	Professional		$63.10	$109.65	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $194.98	Facility		$64.57	$114.82	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $177.83	Professional		$85.11	$114.82	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $123.03	Facility		$89.13	$89.13	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $147.91	Professional		$70.79	$95.50	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $112.20	Professional		$74.13	$109.65	$112.20