Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.96 / $667.29 / $2,156.28	Facility		$90.96	$667.29	$2,156.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $170.82 / $316.33	Professional		$158.16	$170.82	$316.33
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 $171.93 / $171.93 / $171.93	Professional		$171.93	$171.93	$171.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $236.93 / $270.95 / $728.36	Facility		$236.93	$270.95	$728.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $361.27 / $361.27 / $361.27	Facility		$361.27	$361.27	$361.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,565.88 / $1,683.64 / $1,683.64	Facility		$1,565.88	$1,683.64	$1,683.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.99 / $1,930.99 / $3,017.18	Professional		$1,930.99	$1,930.99	$3,017.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $251.77 / $361.27	Facility		$99.40	$251.77	$361.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $332.37 / $361.27	Professional		$100.52	$332.37	$361.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $253.46 / $361.27	Facility		$99.40	$253.46	$361.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $281.22	Professional		$233.13	$233.13	$281.22
United Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $193.24 / $235.06	Professional		$128.31	$193.24	$235.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $186.75 / $361.27	Professional		$186.42	$186.75	$361.27