Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,715.35 / $12,022.64	Facility		$190.55	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $331.13	Professional		$54.95	$114.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $123.03	Professional		$75.86	$107.15	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $537.03	Facility		$74.13	$131.83	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $173.78	Professional		$54.95	$100.00	$173.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $144.54	Professional		$33.11	$63.10	$144.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $138.04 / $138.04	Facility		$51.29	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $213.80	Professional		$66.07	$123.03	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,584.89	Facility		$54.95	$56.23	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,148.15	Professional		$977.24	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $125.89 / $2,511.89	Facility		$56.23	$125.89	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $239.88	Professional		$54.95	$112.20	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $186.21	Facility		$53.70	$112.20	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $223.87	Professional		$67.61	$128.82	$223.87
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 $56.23 / $102.33 / $173.78	Professional		$56.23	$102.33	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89