Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,041.74 / $7,244.36	Facility		$489.78	$2,041.74	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $501.19	Professional		$104.71	$181.97	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $208.93	Professional		$79.43	$107.15	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $758.58	Facility		$112.20	$181.97	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $251.19	Professional		$123.03	$173.78	$251.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $354.81	Facility		$70.79	$100.00	$354.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $251.19	Professional		$81.28	$114.82	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $562.34 / $562.34	Facility		$131.83	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $316.23	Professional		$151.36	$208.93	$316.23
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 $1,445.44 / $1,659.59 / $1,659.59	Professional		$1,445.44	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $3,715.35	Facility		$141.25	$229.09	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $371.54	Professional		$128.82	$194.98	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $281.84	Facility		$131.83	$190.55	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $323.59	Professional		$151.36	$218.78	$323.59
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 $123.03 / $173.78 / $257.04	Professional		$123.03	$173.78	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55