Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,691.53 / $7,943.28	Facility		$524.81	$2,691.53	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $416.87 / $5,623.41 / $12,302.69	Facility	50	$416.87	$5,623.41	$12,302.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $338.84 / $1,122.02	Professional	50	$123.03	$338.84	$1,122.02
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $165.96 / $251.19	Professional	50	$147.91	$165.96	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,365.16 / $14,125.38	Facility		$1,023.29	$4,365.16	$14,125.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $281.84	Facility		$79.43	$104.71	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $724.44	Facility		$54.95	$56.23	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $281.84 / $2,187.76	Facility		$125.89	$281.84	$2,187.76
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $416.87 / $8,317.64 / $12,882.50	Facility	50	$416.87	$8,317.64	$12,882.50
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $288.40 / $912.01	Professional	50	$100.00	$288.40	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $263.03 / $489.78	Facility		$120.23	$263.03	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53