Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.64 / $1,061.40 / $2,485.42	Facility		$300.64	$1,061.40	$2,485.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.41 / $798.38 / $798.38	Professional		$513.41	$798.38	$798.38
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 $595.07 / $595.07 / $595.07	Professional		$595.07	$595.07	$595.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $597.95 / $876.78	Facility		$487.10	$597.95	$876.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $991.89 / $991.89 / $991.89	Facility		$991.89	$991.89	$991.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.54 / $478.54 / $478.54	Facility		$478.54	$478.54	$478.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,101.05 / $1,101.05	Facility		$100.00	$1,101.05	$1,101.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $753.66 / $753.66	Professional		$753.66	$753.66	$753.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.20 / $798.38 / $1,692.57	Facility		$692.20	$798.38	$1,692.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.20 / $798.38 / $1,692.57	Facility		$692.20	$798.38	$1,692.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
United Facility/Professional Professional Modifier Low / Median / High Price $440.40 / $440.40 / $636.29	Professional		$440.40	$440.40	$636.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $538.34 / $726.76	Professional		$30.00	$538.34	$726.76