Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,071.52	Professional		$676.08	$812.83	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $562.34	Facility		$302.00	$380.19	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Professional		$87.10	$87.10	$114.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $309.03	Professional		$120.23	$208.93	$309.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $1,047.13	Facility		$95.50	$95.50	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $977.24	Facility		$812.83	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $812.83 / $977.24	Professional		$97.72	$812.83	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $5,128.61	Facility		$1,698.24	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $676.08 / $1,318.26	Facility		$104.71	$676.08	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,071.52	Professional		$676.08	$912.01	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $1,445.44	Professional		$81.28	$144.54	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $676.08 / $1,318.26	Facility		$104.71	$676.08	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $691.83 / $812.83	Professional		$194.98	$691.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $407.38 / $741.31	Facility		$66.07	$407.38	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,122.02	Professional		$426.58	$602.56	$1,122.02