Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,079.46	Facility		$575.44	$2,818.38	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $501.19 / $1,445.44	Professional		$117.49	$501.19	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $549.54	Professional		$102.33	$125.89	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $1,819.70	Facility		$363.08	$977.24	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $446.68 / $776.25	Professional		$109.65	$446.68	$776.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $3,388.44	Facility		$602.56	$1,000.00	$3,388.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $851.14 / $851.14	Facility		$117.49	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $1,023.29	Professional		$154.88	$338.84	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,137.96	Facility		$54.95	$56.23	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $5,248.07	Professional		$4,466.84	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,096.48 / $5,248.07	Facility		$144.54	$1,096.48	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $524.81 / $1,174.90	Professional		$123.03	$524.81	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $446.68 / $870.96	Facility		$117.49	$446.68	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $1,047.13	Professional		$154.88	$331.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $380.19 / $954.99	Professional		$128.82	$380.19	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84