Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $776.25	Professional		$478.63	$616.60	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $398.11	Facility		$213.80	$269.15	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $81.28	Professional		$61.66	$81.28	$81.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $263.03 / $302.00	Professional		$83.18	$263.03	$302.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $776.25	Facility		$87.10	$87.10	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Facility		$616.60	$616.60	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $524.81 / $691.83	Professional		$69.18	$524.81	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $3,630.78	Facility		$1,202.26	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $478.63 / $870.96	Facility		$77.62	$478.63	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $776.25	Professional		$478.63	$660.69	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $1,023.29	Professional		$64.57	$102.33	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $478.63 / $812.83	Facility		$77.62	$478.63	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $524.81 / $616.60	Professional		$138.04	$524.81	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $288.40 / $524.81	Facility		$46.77	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $794.33	Professional		$295.12	$416.87	$794.33