Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $6,918.31	Facility		$707.95	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $549.54	Professional		$194.98	$281.84	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $316.23	Professional		$147.91	$275.42	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $1,148.15	Facility		$165.96	$275.42	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $436.52	Professional		$208.93	$288.40	$436.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $537.03	Professional		$309.03	$371.54	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $302.00	Facility		$190.55	$275.42	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $524.81	Professional		$234.42	$338.84	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,489.63 / $13,489.63	Facility		$2,041.74	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,630.27	Professional		$2,290.87	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $3,715.35	Facility		$208.93	$354.81	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $588.84	Professional		$199.53	$309.03	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $302.00 / $467.74	Facility		$199.53	$302.00	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $524.81	Professional		$239.88	$346.74	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,168.69	Facility		$436.52	$1,819.70	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $416.87	Professional		$194.98	$281.84	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00