Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $332.20 / $514.37	Facility		$203.58	$332.20	$514.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $205.62 / $296.98	Professional		$203.58	$205.62	$296.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.62 / $526.77 / $1,041.01	Facility		$208.62	$526.77	$1,041.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.59 / $231.59 / $231.59	Professional		$231.59	$231.59	$231.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $315.76 / $5,429.12	Facility		$196.27	$315.76	$5,429.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,015.00 / $6,015.00 / $6,015.00	Facility		$6,015.00	$6,015.00	$6,015.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $203.58	Facility		$192.06	$203.58	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.80 / $1,029.40 / $1,029.40	Facility		$270.80	$1,029.40	$1,029.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $212.20 / $299.86	Facility		$108.23	$212.20	$299.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $203.58 / $395.25	Professional		$159.15	$203.58	$395.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.33 / $203.58 / $291.12	Facility		$132.33	$203.58	$291.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $203.58 / $368.78	Professional		$192.27	$203.58	$368.78
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $226.63 / $226.63	Professional		$203.58	$226.63	$226.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $218.37 / $274.83	Professional		$212.20	$218.37	$274.83