Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,162.28 / $10,715.19	Facility		$616.60	$3,162.28	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $741.31	Professional		$223.87	$363.08	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $616.60	Professional		$239.88	$407.38	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,737.80	Facility		$478.63	$812.83	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $616.60	Professional		$257.04	$389.05	$616.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,659.59	Facility		$512.86	$794.33	$1,659.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $616.60	Professional		$154.88	$331.13	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $407.38	Facility		$229.09	$380.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $691.83	Professional		$309.03	$446.68	$691.83
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 $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $3,890.45	Facility		$251.19	$457.09	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $776.25	Professional		$245.47	$398.11	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $616.60	Facility		$245.47	$398.11	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $691.83	Professional		$316.23	$457.09	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $549.54	Professional		$245.47	$363.08	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38