Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $971.63 / $2,114.32	Facility		$528.58	$971.63	$2,114.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $870.30	Professional		$636.59	$642.96	$870.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.20 / $2,021.13 / $4,032.68	Facility		$835.20	$2,021.13	$4,032.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.68 / $688.68 / $688.68	Professional		$688.68	$688.68	$688.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $1,145.85 / $2,610.00	Facility		$636.59	$1,145.85	$2,610.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $609.53 / $609.53 / $609.53	Facility		$609.53	$609.53	$609.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $636.59 / $636.59	Facility		$600.55	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.00 / $3,472.90 / $3,472.90	Facility		$1,554.00	$3,472.90	$3,472.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $910.32 / $946.73	Facility		$528.58	$910.32	$946.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $396.44 / $636.59 / $1,153.86	Professional		$396.44	$636.59	$1,153.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $636.59 / $919.43	Facility		$600.55	$636.59	$919.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.57 / $636.59 / $1,022.02	Professional		$601.57	$636.59	$1,022.02
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $564.65 / $859.40	Professional		$528.58	$564.65	$859.40