Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,754.23 / $7,585.78	Facility		$707.95	$2,754.23	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,096.48	Professional		$338.84	$562.34	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $436.52	Professional		$190.55	$245.47	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $6,918.31	Facility		$1,659.59	$3,548.13	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $977.24	Professional		$323.59	$501.19	$977.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $954.99 / $2,818.38	Facility		$199.53	$954.99	$2,818.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $660.69	Facility		$354.81	$354.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,071.52	Professional		$436.52	$676.08	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $5,495.41	Professional		$4,570.88	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $3,801.89	Facility		$389.05	$758.58	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,230.27	Professional		$363.08	$616.60	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,023.29	Facility		$363.08	$602.56	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,122.02	Professional		$436.52	$691.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,365.16	Facility		$436.52	$1,819.70	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $912.01	Professional		$371.54	$575.44	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69