Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $400.00 / $511.86	Facility		$230.15	$400.00	$511.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $322.26	Professional		$230.15	$232.46	$322.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $421.31 / $832.30	Facility		$166.46	$421.31	$832.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.66 / $214.66 / $214.66	Professional		$214.66	$214.66	$214.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $189.27 / $321.98 / $11,709.89	Facility		$189.27	$321.98	$11,709.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $222.71 / $368.24	Professional		$159.80	$222.71	$368.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $25,491.77 / $25,491.77 / $25,491.77	Facility		$25,491.77	$25,491.77	$25,491.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $230.15 / $230.15	Facility		$217.13	$230.15	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.42 / $1,127.74 / $1,150.75	Facility		$296.42	$1,127.74	$1,150.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.21 / $232.46 / $339.00	Facility		$136.21	$232.46	$339.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $230.15 / $417.46	Professional		$172.70	$230.15	$417.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $230.15 / $332.42	Facility		$176.44	$230.15	$332.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $230.15 / $404.57	Professional		$217.64	$230.15	$404.57
United Facility/Professional Facility Modifier Low / Median / High Price $271.86 / $367.69 / $367.69	Facility		$271.86	$367.69	$367.69
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.52 / $223.52 / $310.70	Professional		$223.52	$223.52	$310.70