Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.38 / $5,364.24 / $9,960.19	Facility		$986.38	$5,364.24	$9,960.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $402.32	Professional		$402.32	$402.32	$402.32
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 $4,038.21 / $4,038.21 / $4,038.21	Facility		$4,038.21	$4,038.21	$4,038.21
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 $104.42 / $104.42 / $104.42	Facility		$104.42	$104.42	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,353.81 / $1,874.50	Facility		$100.00	$1,353.81	$1,874.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.22 / $1,666.22 / $1,666.22	Professional		$1,666.22	$1,666.22	$1,666.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $852.92	Facility		$402.32	$402.32	$852.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $402.32 / $402.32 / $402.32	Professional		$402.32	$402.32	$402.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.32 / $402.32 / $675.90	Facility		$402.32	$402.32	$675.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $40.01 / $40.01	Professional		$40.01	$40.01	$40.01