Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $921.17 / $1,205.41	Facility		$529.26	$921.17	$1,205.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $534.54 / $733.40	Professional		$529.26	$534.54	$733.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.83 / $1,336.37 / $2,666.40	Facility		$529.83	$1,336.37	$2,666.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $558.79 / $558.79	Professional		$558.79	$558.79	$558.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,656.00 / $2,001.00	Facility		$529.26	$1,656.00	$2,001.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $820.93 / $820.93 / $820.93	Facility		$820.93	$820.93	$820.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $529.26	Facility		$499.30	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.59 / $6,095.00 / $6,095.00	Facility		$1,197.59	$6,095.00	$6,095.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $756.84 / $787.11	Facility		$524.02	$756.84	$787.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.02 / $529.26 / $959.20	Professional		$393.02	$529.26	$959.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $764.41	Facility		$499.30	$529.26	$764.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.08 / $529.26 / $952.75	Professional		$500.08	$529.26	$952.75
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.38 / $526.38 / $714.50	Professional		$526.38	$526.38	$714.50