Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.15 / $2,080.00 / $7,513.00	Facility		$161.15	$2,080.00	$7,513.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.97 / $100.97 / $201.94	Facility	52	$100.97	$100.97	$201.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $114.73 / $199.23	Professional		$87.64	$114.73	$199.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $81.16 / $81.16	Professional		$81.16	$81.16	$81.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $116.92 / $422.40	Facility		$65.77	$116.92	$422.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $129.32 / $185.73	Professional		$101.08	$129.32	$185.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $325.24 / $469.84	Facility		$133.52	$325.24	$469.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $104.32 / $106.24	Facility		$80.00	$104.32	$106.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Facility		$187.40	$187.40	$187.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $151.80 / $226.60	Professional		$113.34	$151.80	$226.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $574.99	Facility		$55.00	$55.00	$574.99
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $415.40 / $459.99 / $459.99	Facility	52	$415.40	$459.99	$459.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $795.04 / $931.04 / $1,152.59	Professional		$795.04	$931.04	$1,152.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $135.22 / $231.25	Facility		$104.97	$135.22	$231.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $181.15 / $232.90	Professional		$144.24	$181.15	$232.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $135.46 / $236.96	Facility		$105.37	$135.46	$236.96
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $156.08 / $243.47	Professional		$116.59	$156.08	$243.47
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $125.23 / $204.76	Professional		$93.25	$125.23	$204.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $123.96 / $173.87	Professional		$110.43	$123.96	$173.87