Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $225.10 / $282.68	Facility		$129.47	$225.10	$282.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $130.77 / $181.35	Professional		$129.47	$130.77	$181.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $344.98 / $688.32	Facility		$136.30	$344.98	$688.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $123.87 / $123.87	Professional		$123.87	$123.87	$123.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $176.62 / $7,713.49	Facility		$117.63	$176.62	$7,713.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $14,922.18 / $14,922.18 / $14,922.18	Facility		$14,922.18	$14,922.18	$14,922.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $129.47 / $129.47	Facility		$122.15	$129.47	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.23 / $647.40 / $647.50	Facility		$172.23	$647.40	$647.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $185.16 / $190.70	Facility		$129.58	$185.16	$190.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $129.47 / $234.52	Professional		$97.19	$129.47	$234.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $129.47 / $187.00	Facility		$122.15	$129.47	$187.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $129.47 / $232.91	Professional		$122.27	$129.47	$232.91
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $128.68 / $174.80	Professional		$128.68	$128.68	$174.80