Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,089.30 / $6,918.31	Facility		$512.86	$2,089.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $346.74	Professional		$70.79	$123.03	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $158.49	Professional		$52.48	$100.00	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $562.34	Facility		$83.18	$134.90	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $169.82	Professional		$77.62	$114.82	$169.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $478.63 / $1,584.89	Facility		$72.44	$478.63	$1,584.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $213.80	Professional		$120.23	$147.91	$213.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $371.54 / $371.54	Facility		$74.13	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $204.17	Professional		$85.11	$128.82	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,489.63 / $13,489.63	Facility		$2,041.74	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,071.52	Professional		$912.01	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $141.25 / $3,311.31	Facility		$77.62	$141.25	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $239.88	Professional		$74.13	$123.03	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $173.78	Facility		$74.13	$114.82	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $208.93	Professional		$85.11	$131.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $162.18	Professional		$67.61	$104.71	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03