Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $121.20	Facility		$42.00	$50.00	$121.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $136.22	Professional		$38.00	$48.00	$136.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $74.00	Professional		$40.00	$50.00	$74.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $80.45 / $119.32	Professional		$45.00	$80.45	$119.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $70.00 / $98.50	Professional		$48.00	$70.00	$98.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $940.95 / $940.95	Facility		$90.00	$940.95	$940.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,881.90 / $1,881.90	Professional		$960.00	$1,881.90	$1,881.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $5,350.00 / $6,105.00	Facility		$62.50	$5,350.00	$6,105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $166.50 / $195.75	Professional		$75.00	$166.50	$195.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $4,750.00 / $6,105.00	Facility		$62.50	$4,750.00	$6,105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $95.00	Professional		$50.00	$70.00	$95.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.40 / $56.56	Professional		$40.40	$40.40	$56.56