Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $58.03 / $529.86	Facility		$56.40	$58.03	$529.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $62.67 / $116.06	Professional		$58.03	$62.67	$116.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $71.03 / $78.92	Professional		$63.08	$71.03	$78.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $99.41 / $132.55	Facility		$99.41	$99.41	$132.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.46 / $132.46 / $132.55	Facility		$132.46	$132.46	$132.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $613.91 / $613.91	Facility		$221.49	$613.91	$613.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $965.03	Professional		$663.63	$663.63	$965.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $92.37 / $132.55	Facility		$37.93	$92.37	$132.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $112.67 / $132.55	Professional		$38.36	$112.67	$132.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $94.86 / $132.55	Facility		$37.93	$94.86	$132.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $105.02	Professional		$88.96	$88.96	$105.02
United Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $72.43 / $88.53	Professional		$48.97	$72.43	$88.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $132.55 / $235.00	Professional		$71.27	$132.55	$235.00