Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,715.35 / $12,022.64	Facility		$100.00	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $213.80	Professional		$32.36	$81.28	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $104.71	Professional		$52.48	$100.00	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $281.84 / $616.60	Facility		$134.90	$281.84	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $128.82	Professional		$30.20	$75.86	$128.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $165.96	Professional		$54.95	$109.65	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $91.20 / $95.50	Facility		$32.36	$91.20	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $151.36	Professional		$38.90	$77.62	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,479.11	Facility		$54.95	$56.23	$1,479.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $870.96	Professional		$741.31	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $2,511.89	Facility		$34.67	$89.13	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $186.21	Professional		$33.11	$81.28	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $89.13	Professional		$30.90	$33.11	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $70.79 / $131.83	Facility		$33.11	$70.79	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $158.49	Professional		$39.81	$79.43	$158.49
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 $32.36 / $63.10 / $123.03	Professional		$32.36	$63.10	$123.03