Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.60 / $631.41 / $1,224.54	Facility		$317.60	$631.41	$1,224.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $317.60 / $317.60	Professional		$207.74	$317.60	$317.60
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 $187.56 / $220.66 / $220.66	Professional		$187.56	$220.66	$220.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $972.16 / $6,271.20	Facility		$182.00	$972.16	$6,271.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $269.35 / $269.35 / $269.35	Facility		$269.35	$269.35	$269.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $290.02	Facility		$100.00	$100.00	$290.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Professional		$329.53	$329.53	$329.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.89 / $317.60 / $714.60	Facility		$295.89	$317.60	$714.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.22 / $317.60 / $673.31	Facility		$300.22	$317.60	$673.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
United Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $194.93 / $194.93	Professional		$194.93	$194.93	$194.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $198.90 / $268.52	Professional		$60.00	$198.90	$268.52