Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,395.00 / $2,577.00	Facility		$808.00	$1,395.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $1,128.68 / $1,251.00	Professional		$187.51	$1,128.68	$1,251.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $272.18 / $272.18	Professional		$272.18	$272.18	$272.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.14 / $621.35 / $1,012.57	Facility		$253.14	$621.35	$1,012.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.84 / $807.84 / $807.84	Professional		$807.84	$807.84	$807.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $695.79 / $800.00 / $1,150.00	Facility		$695.79	$800.00	$1,150.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.17 / $337.40 / $1,062.66	Facility		$190.17	$337.40	$1,062.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.41 / $1,013.41 / $1,013.41	Professional		$1,013.41	$1,013.41	$1,013.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $595.44 / $1,174.39 / $1,293.79	Facility		$595.44	$1,174.39	$1,293.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.60 / $1,555.83 / $2,344.28	Professional		$1,488.60	$1,555.83	$2,344.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.89 / $1,128.68 / $2,189.40	Facility		$299.89	$1,128.68	$2,189.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.05 / $273.05 / $600.00	Professional		$273.05	$273.05	$600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $1,138.36 / $2,388.23	Facility		$322.68	$1,138.36	$2,388.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $272.26 / $506.17	Professional		$40.70	$272.26	$506.17
United Facility/Professional Professional Modifier Low / Median / High Price $788.96 / $945.88 / $1,565.56	Professional		$788.96	$945.88	$1,565.56