Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,187.76 / $6,918.31	Facility		$537.03	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $295.12	Professional		$79.43	$131.83	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $154.88	Professional		$104.71	$131.83	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $478.63	Facility		$67.61	$114.82	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $181.97	Professional		$74.13	$114.82	$181.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $128.82 / $199.53	Facility		$44.67	$128.82	$199.53
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $245.47	Professional		$131.83	$154.88	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $141.25	Facility		$79.43	$79.43	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $234.42	Professional		$97.72	$151.36	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,202.26	Professional		$1,047.13	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $165.96 / $2,951.21	Facility		$87.10	$165.96	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $269.15	Professional		$81.28	$141.25	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $213.80	Facility		$81.28	$134.90	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $239.88	Professional		$97.72	$154.88	$239.88
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 $83.18 / $125.89 / $190.55	Professional		$83.18	$125.89	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25