Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $6,918.31	Facility		$537.03	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $346.74 / $831.76	Professional		$154.88	$346.74	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $380.19	Professional		$338.84	$363.08	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,000.00 / $3,801.89	Facility		$190.55	$1,000.00	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $478.63	Professional		$141.25	$288.40	$478.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $512.86 / $616.60	Facility		$169.82	$512.86	$616.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $616.60	Professional		$190.55	$416.87	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $371.54	Facility		$138.04	$138.04	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $588.84	Professional		$186.21	$371.54	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,258.93	Facility		$54.95	$56.23	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,311.31	Professional		$2,818.38	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $457.09 / $3,715.35	Facility		$154.88	$457.09	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $724.44	Professional		$158.49	$346.74	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $323.59 / $549.54	Facility		$144.54	$323.59	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $602.56	Professional		$190.55	$380.19	$602.56
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 $158.49 / $288.40 / $501.19	Professional		$158.49	$288.40	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54