Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.13 / $492.13 / $531.50	Facility		$492.13	$492.13	$531.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.13 / $532.49 / $984.26	Professional		$492.13	$532.49	$984.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.95 / $669.30 / $669.30	Professional		$534.95	$669.30	$669.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $786.84 / $843.05 / $1,124.06	Professional		$786.84	$843.05	$1,124.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,124.06 / $1,124.06 / $1,124.06	Facility		$1,124.06	$1,124.06	$1,124.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $702.38	Professional		$512.74	$512.74	$702.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,917.02 / $6,432.21 / $6,432.21	Facility		$5,917.02	$6,432.21	$6,432.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,703.04 / $6,703.04 / $9,177.15	Professional		$6,703.04	$6,703.04	$9,177.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $788.61 / $1,124.06	Facility		$362.03	$788.61	$1,124.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.12 / $1,034.14 / $1,354.15	Professional		$366.12	$1,034.14	$1,354.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $751.06 / $1,124.06	Facility		$362.03	$751.06	$1,124.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $748.77	Professional		$512.74	$512.74	$748.77
United Facility/Professional Professional Modifier Low / Median / High Price $467.32 / $691.31 / $844.92	Professional		$467.32	$691.31	$844.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $680.18 / $682.97 / $1,124.06	Professional		$680.18	$682.97	$1,124.06