Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $50.00 / $181.80	Facility		$42.00	$50.00	$181.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $208.00	Professional		$38.00	$48.00	$208.00
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 $76.00 / $100.00 / $146.00	Professional		$76.00	$100.00	$146.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $167.18 / $319.54	Professional		$110.00	$167.18	$319.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Facility		$41.60	$41.60	$41.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $140.00 / $197.00	Professional		$96.00	$140.00	$197.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $140.00 / $140.00	Facility		$135.00	$140.00	$140.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $637.59 / $637.59 / $1,440.00	Professional		$637.59	$637.59	$1,440.00
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 $135.00 / $252.00 / $391.50	Professional		$135.00	$252.00	$391.50
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 $100.00 / $140.00 / $190.00	Professional		$100.00	$140.00	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $163.40 / $163.40	Professional		$163.40	$163.40	$163.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $112.45	Professional		$80.31	$80.31	$112.45