Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $391.20 / $124,334.10	Facility		$225.11	$391.20	$124,334.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $315.16	Professional		$225.11	$227.36	$315.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.78 / $561.76 / $1,150.59	Facility		$237.78	$561.76	$1,150.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.27 / $224.27 / $224.27	Professional		$224.27	$224.27	$224.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,001.01 / $1,001.01 / $1,001.01	Facility		$1,001.01	$1,001.01	$1,001.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $71,686.49 / $71,686.49 / $71,686.49	Facility		$71,686.49	$71,686.49	$71,686.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $225.11 / $225.11	Facility		$212.37	$225.11	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $293.07 / $1,131.40 / $1,131.40	Facility		$293.07	$1,131.40	$1,131.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.19 / $321.91 / $331.56	Facility		$225.19	$321.91	$331.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $225.11 / $408.08	Professional		$168.89	$225.11	$408.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $225.11 / $325.12	Facility		$212.37	$225.11	$325.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $225.11 / $399.27	Professional		$212.75	$225.11	$399.27
United Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $224.97 / $224.97	Facility		$224.97	$224.97	$224.97
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.59 / $220.59 / $303.89	Professional		$220.59	$220.59	$303.89