Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,754.23 / $7,413.10	Facility		$691.83	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $426.58	Professional		$83.18	$151.36	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $162.18	Professional		$64.57	$117.49	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $645.65	Facility		$91.20	$154.88	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $229.09	Professional		$100.00	$144.54	$229.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $758.58 / $1,000.00	Facility		$81.28	$758.58	$1,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $123.03	Professional		$58.88	$83.18	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $588.84 / $588.84	Facility		$95.50	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $257.04	Professional		$112.20	$165.96	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $13,489.63 / $13,489.63	Facility		$2,570.40	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,348.96	Professional		$1,148.15	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $3,715.35	Facility		$102.33	$177.83	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $302.00	Professional		$95.50	$154.88	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $223.87	Facility		$95.50	$147.91	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $263.03	Professional		$114.82	$173.78	$263.03
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 $95.50 / $138.04 / $204.17	Professional		$95.50	$138.04	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36