Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,187.76 / $6,918.31	Facility		$239.88	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,890.45	Facility		$3,235.94	$3,235.94	$3,890.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $2,691.53	Professional		$2,344.23	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $257.04 / $575.44	Facility		$239.88	$257.04	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $316.23	Professional		$239.88	$239.88	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $575.44	Facility		$239.88	$281.84	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Professional		$0.62	$0.62	$0.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01