Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $1,602.14 / $3,160.16	Facility		$771.56	$1,602.14	$3,160.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.55 / $779.27 / $1,357.29	Professional		$771.55	$779.27	$1,357.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $2,341.17 / $4,671.25	Facility		$925.00	$2,341.17	$4,671.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.42 / $848.42 / $848.42	Professional		$848.42	$848.42	$848.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $876.73 / $1,398.48 / $3,108.00	Facility		$876.73	$1,398.48	$3,108.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,436.94 / $1,436.94 / $1,436.94	Facility		$1,436.94	$1,436.94	$1,436.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $771.56 / $771.56	Facility		$727.88	$771.56	$771.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $4,641.20 / $4,641.20	Facility		$1,110.00	$4,641.20	$4,641.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $779.27 / $1,103.33 / $1,147.46	Facility		$779.27	$1,103.33	$1,147.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $592.53 / $771.56 / $1,449.94	Professional		$592.53	$771.56	$1,449.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $771.56 / $1,114.35	Facility		$727.88	$771.56	$1,114.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $729.03 / $771.56 / $1,398.35	Professional		$729.03	$771.56	$1,398.35
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $790.04 / $801.07 / $1,041.60	Professional		$790.04	$801.07	$1,041.60