Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,290.87 / $7,079.46	Facility		$446.68	$2,290.87	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $380.19	Professional		$102.33	$158.49	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $257.04	Professional		$107.15	$131.83	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $676.08	Facility		$97.72	$154.88	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $245.47	Professional		$109.65	$154.88	$245.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,778.28 / $2,951.21	Facility		$169.82	$1,778.28	$2,951.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $223.87	Professional		$112.20	$223.87	$223.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,318.26 / $1,318.26	Facility		$112.20	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $269.15	Professional		$125.89	$177.83	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,412.54	Professional		$1,230.27	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $3,890.45	Facility		$114.82	$204.17	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $316.23	Professional		$104.71	$169.82	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $239.88	Facility		$104.71	$158.49	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $281.84	Professional		$125.89	$186.21	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $218.78	Professional		$102.33	$147.91	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96