Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $147.91	Professional		$47.86	$77.62	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $66.07	Professional		$47.86	$47.86	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,023.29 / $3,801.89	Facility		$239.88	$1,023.29	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $89.13	Professional		$45.71	$69.18	$89.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $1,288.25 / $5,128.61	Facility		$53.70	$1,288.25	$5,128.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $95.50	Professional		$52.48	$72.44	$95.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $97.72	Facility		$47.86	$47.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $141.25	Professional		$58.88	$91.20	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $346.74	Facility		$54.95	$56.23	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $120.23 / $3,715.35	Facility		$51.29	$120.23	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $186.21	Professional		$48.98	$87.10	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $128.82	Facility		$47.86	$79.43	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $147.91	Professional		$60.26	$91.20	$147.91
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 $48.98 / $77.62 / $123.03	Professional		$48.98	$77.62	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72