Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $7,585.78	Facility		$537.03	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $478.63	Professional		$125.89	$208.93	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $239.88	Professional		$81.28	$87.10	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $229.09 / $933.25	Facility		$134.90	$229.09	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $295.12	Professional		$134.90	$199.53	$295.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $331.13	Facility		$134.90	$194.98	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $588.84 / $588.84	Facility		$125.89	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $371.54	Professional		$151.36	$234.42	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,489.63 / $13,489.63	Facility		$2,187.76	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $1,905.46	Professional		$1,659.59	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $3,162.28	Facility		$134.90	$239.88	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $426.58	Professional		$131.83	$218.78	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $323.59	Facility		$128.82	$204.17	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54
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 $128.82 / $190.55 / $295.12	Professional		$128.82	$190.55	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78