Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.64 / $2,014.72 / $2,891.64	Facility		$338.64	$2,014.72	$2,891.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $56.47 / $647.23	Professional		$56.47	$56.47	$647.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.80 / $369.39 / $695.23	Facility		$150.80	$369.39	$695.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $25.41 / $29.90	Professional		$25.41	$25.41	$29.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,480.87 / $1,583.82 / $2,600.00	Facility		$1,480.87	$1,583.82	$2,600.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $148.28 / $148.28	Facility		$148.28	$148.28	$148.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $139.16 / $303.00	Facility		$63.78	$139.16	$303.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $6,068.72 / $6,068.72	Professional		$3,335.23	$6,068.72	$6,068.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.90 / $1,367.25 / $2,718.84	Facility		$648.90	$1,367.25	$2,718.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $139.16 / $271.26	Facility		$63.78	$139.16	$271.26
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $4,000.00 / $4,000.00	Professional		$170.00	$4,000.00	$4,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00