Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,238.72 / $6,918.31	Facility		$524.81	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $436.52	Professional		$134.90	$218.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $204.17	Professional		$97.72	$117.49	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $1,000.00	Facility		$147.91	$245.47	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $346.74	Professional		$154.88	$229.09	$346.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $758.58 / $1,000.00	Facility		$251.19	$758.58	$1,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $234.42	Professional		$91.20	$128.82	$234.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $275.42	Facility		$141.25	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87
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 $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $3,019.95	Facility		$154.88	$275.42	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $457.09	Professional		$147.91	$234.42	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $363.08	Facility		$147.91	$234.42	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $416.87	Professional		$177.83	$275.42	$416.87
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 $147.91 / $218.78 / $323.59	Professional		$147.91	$218.78	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88