Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $151.36	Professional		$25.12	$69.18	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $371.54	Facility		$46.77	$85.11	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $112.20	Professional		$25.12	$64.57	$112.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $213.80 / $281.84	Facility		$102.33	$213.80	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $173.78 / $173.78	Facility		$25.12	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $123.03	Professional		$30.90	$69.18	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,778.28	Facility		$54.95	$56.23	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Professional		$645.65	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $977.24 / $5,128.61	Facility		$32.36	$977.24	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $162.18	Professional		$25.12	$69.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $75.86	Professional		$23.99	$32.36	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $70.79 / $117.49	Facility		$25.70	$70.79	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $72.44 / $128.82	Professional		$30.90	$72.44	$128.82
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 $26.30 / $56.23 / $100.00	Professional		$26.30	$56.23	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11