Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,137.96 / $6,760.83	Facility		$177.83	$2,137.96	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $354.81	Professional		$173.78	$213.80	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $1,348.96	Facility		$302.00	$407.38	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $416.87 / $416.87	Facility		$79.43	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Professional		$194.98	$194.98	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,019.95	Professional		$2,630.27	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $537.03	Facility		$177.83	$346.74	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $389.05	Professional		$173.78	$223.87	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $512.86	Facility		$177.83	$316.23	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $309.03	Facility		$151.36	$269.15	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $309.03	Professional		$169.82	$251.19	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $416.87	Professional		$245.47	$416.87	$416.87