Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,235.94 / $11,748.98	Facility		$794.33	$3,235.94	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,737.80	Professional		$616.60	$812.83	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $5,495.41	Facility		$1,513.56	$2,691.53	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,230.27	Professional		$660.69	$831.76	$1,230.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,187.76 / $4,677.35	Facility		$812.83	$2,187.76	$4,677.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,202.26	Professional		$676.08	$812.83	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $851.14	Facility		$588.84	$588.84	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,445.44	Professional		$724.44	$954.99	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $3,890.45	Facility		$645.65	$954.99	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,659.59	Professional		$630.96	$912.01	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,318.26	Facility		$630.96	$891.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,513.56	Professional		$741.31	$1,000.00	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,202.26	Professional		$616.60	$831.76	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14