Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $622.86 / $756.50	Facility		$510.00	$622.86	$756.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $573.50 / $756.50	Professional		$450.50	$573.50	$756.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $158.72 / $334.76	Facility		$71.86	$158.72	$334.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $67.66 / $67.66	Professional		$58.44	$67.66	$67.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $65.31 / $160.00	Professional		$65.31	$65.31	$160.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.53 / $71.53 / $754.60	Facility		$71.53	$71.53	$754.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $671.30	Facility		$568.02	$568.02	$671.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $695.55	Professional		$482.82	$568.02	$695.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.92 / $3,720.55 / $3,856.19	Facility		$1,801.92	$3,720.55	$3,856.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $523.79 / $987.30	Facility		$75.45	$523.79	$987.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $445.44 / $1,235.65	Professional		$69.42	$445.44	$1,235.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $523.79 / $947.49	Facility		$75.45	$523.79	$947.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $568.02 / $695.55	Professional		$59.58	$568.02	$695.55
United Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $555.08 / $1,055.01	Professional		$426.40	$555.08	$1,055.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.97 / $560.05 / $560.05	Professional		$388.97	$560.05	$560.05