Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $219.28 / $9,246.60	Facility		$99.13	$219.28	$9,246.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $100.12 / $110.13	Professional		$99.13	$100.12	$110.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.97 / $867.75 / $1,695.57	Facility		$348.97	$867.75	$1,695.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $138.46 / $138.46	Professional		$138.46	$138.46	$138.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $173.26 / $250.50 / $3,279.05	Facility		$173.26	$250.50	$3,279.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,370.71 / $2,370.71 / $2,370.71	Facility		$2,370.71	$2,370.71	$2,370.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $99.13	Facility		$93.52	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $417.50 / $1,345.20 / $1,345.20	Facility		$417.50	$1,345.20	$1,345.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $141.76 / $458.31	Facility		$100.12	$141.76	$458.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $99.13 / $226.79	Professional		$77.78	$99.13	$226.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $184.38	Facility		$93.52	$99.13	$184.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $99.13 / $179.41	Professional		$93.54	$99.13	$179.41
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.35 / $110.35	Professional		$99.13	$110.35	$110.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $125.30 / $133.83	Professional		$103.71	$125.30	$133.83