Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $37.00 / $443.82	Facility		$13.77	$37.00	$443.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $27.10 / $494.96	Professional		$14.95	$27.10	$494.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.73 / $445.56 / $863.17	Facility		$174.73	$445.56	$863.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $315.95 / $514.80	Professional		$14.19	$315.95	$514.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $413.69 / $488.90 / $601.73	Professional		$413.69	$488.90	$601.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $201.91 / $375.90	Facility		$15.31	$201.91	$375.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $68.31 / $435.14	Professional		$11.51	$68.31	$435.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $682.41 / $742.62 / $742.62	Facility		$682.41	$742.62	$742.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.43 / $2,938.51 / $3,465.00	Professional		$1,548.43	$2,938.51	$3,465.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $43.48 / $532.95	Facility		$17.20	$43.48	$532.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $34.28 / $738.83	Professional		$21.43	$34.28	$738.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $43.48 / $532.36	Facility		$17.20	$43.48	$532.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $68.31 / $516.53	Professional		$12.23	$68.31	$516.53
United Facility/Professional Facility Modifier Low / Median / High Price $712.22 / $712.22 / $712.22	Facility		$712.22	$712.22	$712.22
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $263.89 / $329.86	Professional		$64.56	$263.89	$329.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.02 / $376.08 / $526.51	Professional		$339.02	$376.08	$526.51