Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,380.38	Professional		$630.96	$812.83	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,370.32	Facility		$1,548.82	$2,691.53	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,288.25	Professional		$660.69	$831.76	$1,288.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,884.03	Facility		$1,995.26	$1,995.26	$2,884.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Facility		$630.96	$630.96	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Professional		$741.31	$977.24	$1,513.56
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 $6,165.95 / $7,244.36 / $7,244.36	Professional		$6,165.95	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $3,890.45	Facility		$676.08	$977.24	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,584.89	Professional		$645.65	$954.99	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,348.96	Facility		$645.65	$891.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,584.89	Professional		$758.58	$1,023.29	$1,584.89
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 $645.65 / $851.14 / $1,230.27	Professional		$645.65	$851.14	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14