Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,511.89 / $6,918.31	Facility		$660.69	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $309.03	Professional		$112.20	$169.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,801.89 / $7,943.28	Facility		$165.96	$3,801.89	$7,943.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $288.40	Professional		$141.25	$186.21	$288.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $794.33	Professional		$169.82	$213.80	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,445.44	Professional		$1,202.26	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $4,265.80	Facility		$165.96	$354.81	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $309.03	Professional		$112.20	$169.82	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $354.81	Facility		$131.83	$199.53	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $794.33	Professional		$154.88	$309.03	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $416.87	Professional		$131.83	$181.97	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47