Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $2,224.44 / $4,860.57	Facility		$137.47	$2,224.44	$4,860.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $148.47	Professional		$137.47	$137.47	$148.47
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
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,265.54 / $2,265.54 / $2,423.04	Facility		$2,265.54	$2,265.54	$2,423.04
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 Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $54.63 / $54.63	Professional		$54.63	$54.63	$54.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $140.22 / $480.00	Facility		$137.47	$140.22	$480.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $137.47 / $390.19	Facility		$137.47	$137.47	$390.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00