Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,511.89 / $6,918.31	Facility		$602.56	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $645.65 / $1,318.26	Professional		$323.59	$645.65	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $954.99	Professional		$467.74	$630.96	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $1,548.82	Facility		$239.88	$398.11	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $851.14	Professional		$288.40	$537.03	$851.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,380.38	Facility		$524.81	$794.33	$1,380.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $436.52 / $1,071.52	Professional		$190.55	$436.52	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $630.96 / $630.96	Facility		$281.84	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,071.52	Professional		$371.54	$676.08	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,398.83	Facility		$54.95	$56.23	$2,398.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $4,897.79 / $5,754.40	Professional		$933.25	$4,897.79	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $4,073.80	Facility		$316.23	$741.31	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $1,230.27	Professional		$323.59	$630.96	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $977.24	Facility		$302.00	$588.84	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,096.48	Professional		$389.05	$691.83	$1,096.48
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 $316.23 / $537.03 / $870.96	Professional		$316.23	$537.03	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65