Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,754.23 / $11,481.54	Facility		$436.52	$2,754.23	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $1,202.26	Professional		$245.47	$446.68	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $575.44	Professional		$199.53	$245.47	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,778.28	Facility		$478.63	$812.83	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $588.84	Professional		$245.47	$380.19	$588.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $263.03 / $6,456.54	Facility		$72.44	$263.03	$6,456.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $512.86	Professional		$169.82	$288.40	$512.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $446.68	Facility		$245.47	$371.54	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $851.14	Professional		$338.84	$537.03	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $45,708.82 / $45,708.82	Facility		$2,187.76	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $3,981.07	Facility		$275.42	$575.44	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $870.96	Professional		$257.04	$446.68	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $457.09 / $776.25	Facility		$263.03	$457.09	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $870.96	Professional		$338.84	$549.54	$870.96
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 $275.42 / $436.52 / $691.83	Professional		$275.42	$436.52	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68