Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $363.60	Facility		$42.00	$50.00	$363.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $360.00	Professional		$35.00	$48.00	$360.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $250.00 / $380.00	Professional		$210.00	$250.00	$380.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $460.00 / $798.85	Professional		$330.00	$460.00	$798.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $350.00 / $492.50	Professional		$240.00	$350.00	$492.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $440.00 / $440.00	Facility		$270.00	$440.00	$440.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $4,512.00 / $4,512.00	Professional		$2,880.00	$4,512.00	$4,512.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $5,350.00 / $6,105.00	Facility		$52.50	$5,350.00	$6,105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $441.00 / $978.75	Professional		$176.40	$441.00	$978.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $4,750.00 / $6,105.00	Facility		$53.13	$4,750.00	$6,105.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $350.00 / $475.00	Professional		$250.00	$350.00	$475.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $282.24	Professional		$201.60	$201.60	$282.24