Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $167.48 / $283.91	Facility		$86.38	$167.48	$283.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $87.25 / $150.01	Professional		$86.38	$87.25	$150.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.63 / $947.61 / $1,890.72	Facility		$385.63	$947.61	$1,890.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $304.24 / $1,638.00	Facility		$86.38	$304.24	$1,638.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,312.05 / $1,312.05 / $1,312.05	Facility		$1,312.05	$1,312.05	$1,312.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $86.38 / $86.38	Facility		$81.48	$86.38	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,621.35 / $1,621.35	Facility		$468.00	$1,621.35	$1,621.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.25 / $123.52 / $405.21	Facility		$87.25	$123.52	$405.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $86.38 / $224.40	Professional		$68.33	$86.38	$224.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $86.38 / $398.02	Facility		$81.48	$86.38	$398.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $86.38 / $156.55	Professional		$81.62	$86.38	$156.55
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $116.61 / $123.98	Professional		$91.11	$116.61	$123.98