Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.34 / $1,145.06 / $4,166.72	Facility		$791.34	$1,145.06	$4,166.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.06 / $1,145.06 / $1,156.51	Professional		$1,145.06	$1,145.06	$1,156.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.57 / $1,879.06 / $3,499.41	Facility		$818.57	$1,879.06	$3,499.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $759.82 / $1,038.58 / $1,802.47	Facility		$759.82	$1,038.58	$1,802.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.33 / $741.33 / $741.33	Facility		$741.33	$741.33	$741.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,145.06 / $1,167.96 / $3,250.14	Facility		$1,145.06	$1,167.96	$3,250.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,145.06 / $1,167.96 / $3,250.14	Facility		$1,145.06	$1,167.96	$3,250.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.68	Professional		$13.34	$13.34	$18.68