Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,187.76 / $7,585.78	Facility		$512.86	$2,187.76	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $501.19	Professional		$117.49	$208.93	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $186.21	Professional		$93.33	$114.82	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $977.24	Facility		$144.54	$239.88	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $323.59	Professional		$147.91	$223.87	$323.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $1,148.15	Facility		$251.19	$446.68	$1,148.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $371.54	Professional		$87.10	$177.83	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $229.09	Facility		$134.90	$186.21	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $398.11	Professional		$165.96	$251.19	$398.11
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 $1,778.28 / $2,041.74 / $2,041.74	Professional		$1,778.28	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $3,162.28	Facility		$144.54	$263.03	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $436.52	Professional		$131.83	$223.87	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $346.74	Facility		$138.04	$218.78	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $407.38	Professional		$169.82	$263.03	$407.38
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 $141.25 / $208.93 / $316.23	Professional		$141.25	$208.93	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09