Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $734.70 / $1,846.24	Facility		$293.39	$734.70	$1,846.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $293.39 / $337.88	Professional		$264.64	$293.39	$337.88
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 $238.56 / $280.66 / $280.66	Professional		$238.56	$280.66	$280.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,413.57 / $1,413.57 / $1,511.84	Facility		$1,413.57	$1,413.57	$1,511.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $452.65 / $452.65 / $452.65	Facility		$452.65	$452.65	$452.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $689.52 / $689.52	Facility		$100.00	$689.52	$689.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $476.77 / $476.77	Professional		$476.77	$476.77	$476.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $293.39 / $660.15	Facility		$286.52	$293.39	$660.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $293.39 / $622.01	Facility		$293.39	$293.39	$622.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
United Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $242.40 / $242.40	Professional		$242.40	$242.40	$242.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $261.22 / $352.65	Professional		$194.12	$261.22	$352.65