Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,905.46 / $6,309.57	Facility		$467.74	$1,905.46	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $724.44	Professional		$138.04	$245.47	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $316.23	Professional		$186.21	$239.88	$316.23
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 $123.03 / $213.80 / $331.13	Professional		$123.03	$213.80	$331.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $147.91 / $165.96	Facility		$72.44	$147.91	$165.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $316.23	Professional		$85.11	$158.49	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $245.47	Facility		$128.82	$223.87	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $389.05	Professional		$158.49	$257.04	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,584.89	Facility		$54.95	$56.23	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $2,951.21	Facility		$138.04	$269.15	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $489.78	Professional		$134.90	$245.47	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $354.81	Facility		$128.82	$218.78	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $407.38	Professional		$165.96	$269.15	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $309.03	Professional		$131.83	$199.53	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19