Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $903.37 / $1,722.88	Facility		$30.15	$903.37	$1,722.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $598.92 / $792.64	Professional		$593.00	$598.92	$792.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.90 / $1,341.18 / $2,649.50	Facility		$529.90	$1,341.18	$2,649.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.12 / $706.12 / $706.12	Professional		$706.12	$706.12	$706.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.65 / $421.87 / $1,953.51	Facility		$356.65	$421.87	$1,953.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $593.00 / $593.00	Facility		$559.44	$593.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $788.80 / $2,905.70 / $2,965.00	Facility		$788.80	$2,905.70	$2,965.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $593.00 / $873.43	Facility		$115.55	$593.00	$873.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.79 / $593.00 / $1,074.71	Professional		$432.79	$593.00	$1,074.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.47 / $593.00 / $847.99	Facility		$232.47	$593.00	$847.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.29 / $593.00 / $1,035.45	Professional		$560.29	$593.00	$1,035.45
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $572.07 / $572.07 / $800.55	Professional		$572.07	$572.07	$800.55