Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,089.30 / $7,585.78	Facility		$263.03	$2,089.30	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $309.03	Professional		$64.57	$100.00	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $112.20	Professional		$66.07	$87.10	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $281.84 / $616.60	Facility		$131.83	$281.84	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $134.90	Professional		$69.18	$89.13	$134.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $446.68	Facility		$141.25	$218.78	$446.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $128.82	Professional		$43.65	$75.86	$128.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $87.10	Facility		$67.61	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $147.91	Professional		$74.13	$97.72	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $776.25	Professional		$676.08	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $3,715.35	Facility		$69.18	$107.15	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $190.55	Professional		$67.61	$97.72	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $131.83	Facility		$67.61	$87.10	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $154.88	Professional		$77.62	$102.33	$154.88
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 $60.26 / $81.28 / $117.49	Professional		$60.26	$81.28	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13