Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,238.72 / $7,413.10	Facility		$524.81	$2,238.72	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $426.58	Professional		$77.62	$147.91	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $154.88	Professional		$60.26	$79.43	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $645.65	Facility		$93.33	$151.36	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $194.98	Professional		$87.10	$125.89	$194.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $446.68 / $588.84	Facility		$165.96	$446.68	$588.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $229.09	Professional		$81.28	$131.83	$229.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $147.91	Facility		$91.20	$138.04	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $245.47	Professional		$107.15	$158.49	$245.47
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 $1,122.02 / $1,318.26 / $1,318.26	Professional		$1,122.02	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $169.82 / $3,548.13	Facility		$97.72	$169.82	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $288.40	Professional		$89.13	$147.91	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $213.80	Facility		$91.20	$144.54	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $257.04	Professional		$109.65	$165.96	$257.04
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 $89.13 / $128.82 / $194.98	Professional		$89.13	$128.82	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91