Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $269.17 / $9,219.00	Facility		$172.22	$269.17	$9,219.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.94 / $253.54	Professional		$172.22	$173.94	$253.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $305.62 / $603.75	Facility		$120.75	$305.62	$603.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.92 / $170.92 / $170.92	Professional		$170.92	$170.92	$170.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $386.87 / $8,787.86	Facility		$128.63	$386.87	$8,787.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,281.18 / $4,281.18 / $4,281.18	Facility		$4,281.18	$4,281.18	$4,281.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $172.22 / $172.22	Facility		$162.47	$172.22	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $843.88 / $861.10	Facility		$216.10	$843.88	$861.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.49 / $246.27 / $256.13	Facility		$51.49	$246.27	$256.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $172.22 / $311.92	Professional		$128.96	$172.22	$311.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $172.22 / $248.73	Facility		$129.80	$172.22	$248.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $172.22 / $294.00	Professional		$162.62	$172.22	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.43 / $162.43 / $232.50	Professional		$162.43	$162.43	$232.50