Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,162.28 / $10,715.19	Facility		$645.65	$3,162.28	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $912.01	Professional		$257.04	$446.68	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $537.03	Professional		$234.42	$346.74	$537.03
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 $275.42 / $398.11 / $616.60	Professional		$275.42	$398.11	$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 $177.83 / $380.19 / $794.33	Professional		$177.83	$380.19	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $467.74	Facility		$275.42	$363.08	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $851.14	Professional		$380.19	$549.54	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $45,708.82 / $45,708.82	Facility		$2,290.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $4,168.69	Professional		$3,548.13	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $588.84 / $3,890.45	Facility		$309.03	$588.84	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $912.01	Professional		$295.12	$478.63	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $812.83	Facility		$295.12	$489.78	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $891.25	Professional		$380.19	$575.44	$891.25
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 $302.00 / $457.09 / $691.83	Professional		$302.00	$457.09	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74