Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.52 / $2,496.00 / $7,495.00	Facility		$484.52	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $114.96 / $163.49	Professional		$101.92	$114.96	$163.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $117.83 / $139.24	Professional		$91.99	$117.83	$139.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $127.89 / $521.79	Facility		$79.29	$127.89	$521.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $111.43 / $151.96	Professional		$87.43	$111.43	$151.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $515.36 / $1,465.46 / $8,000.00	Facility		$515.36	$1,465.46	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $103.83 / $114.99	Professional		$103.83	$103.83	$114.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $1,295.43 / $1,295.43	Facility		$81.95	$1,295.43	$1,295.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $151.69 / $242.72	Professional		$110.39	$151.69	$242.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,493.00	Facility		$55.00	$55.00	$4,493.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $720.56 / $813.45	Professional		$703.68	$720.56	$813.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $111.66 / $262.24	Facility		$94.24	$111.66	$262.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $144.51 / $170.01	Professional		$103.90	$144.51	$170.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $117.32 / $309.36	Facility		$94.24	$117.32	$309.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $154.41 / $265.01	Professional		$110.39	$154.41	$265.01
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $131.62 / $203.69	Professional		$95.10	$131.62	$203.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $91.99 / $127.43	Professional		$80.61	$91.99	$127.43