Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.49 / $1,055.35 / $4,201.39	Facility		$468.49	$1,055.35	$4,201.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $923.10	Professional		$690.18	$690.18	$923.10
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 $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $675.66 / $844.58 / $1,382.53	Facility		$675.66	$844.58	$1,382.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $941.47 / $941.47 / $941.47	Facility		$941.47	$941.47	$941.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,770.22 / $2,770.22	Facility		$100.00	$2,770.22	$2,770.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.37 / $1,384.37 / $1,384.37	Professional		$1,384.37	$1,384.37	$1,384.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $808.34 / $1,713.68	Facility		$808.34	$808.34	$1,713.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.34 / $808.34 / $1,713.68	Facility		$808.34	$808.34	$1,713.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
United Facility/Professional Professional Modifier Low / Median / High Price $437.68 / $525.50 / $683.77	Professional		$437.68	$525.50	$683.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $691.79 / $933.92	Professional		$30.00	$691.79	$933.92