Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $6,918.31	Facility		$616.60	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $912.01	Professional		$275.42	$416.87	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $501.19	Professional		$295.12	$354.81	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $4,466.84	Facility		$1,318.26	$2,238.72	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $562.34	Professional		$257.04	$363.08	$562.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $660.69 / $1,778.28	Facility		$147.91	$660.69	$1,778.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $724.44	Professional		$309.03	$436.52	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,348.96 / $1,348.96	Facility		$269.15	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $724.44	Professional		$302.00	$467.74	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $3,801.89	Professional		$3,235.94	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $3,715.35	Facility		$288.40	$489.78	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $851.14	Professional		$281.84	$436.52	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $630.96	Facility		$269.15	$407.38	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $741.31	Professional		$323.59	$478.63	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $575.44	Professional		$275.42	$389.05	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68