Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $284.52 / $614.54	Facility		$78.48	$284.52	$614.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $56.40 / $65.23	Professional		$39.15	$56.40	$65.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $31.07 / $43.50	Professional		$21.75	$31.07	$43.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.63 / $175.86 / $325.61	Facility		$64.63	$175.86	$325.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $32.93 / $43.96	Professional		$5.00	$32.93	$43.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $206.07 / $314.26	Facility		$57.42	$206.07	$314.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $61.80 / $93.21	Professional		$46.61	$61.80	$93.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $62.14	Facility		$61.52	$61.52	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $135.30 / $276.29	Facility		$43.43	$135.30	$276.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $44.76 / $97.93	Professional		$32.93	$44.76	$97.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.42 / $295.17 / $295.17	Facility		$99.42	$295.17	$295.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $70.06 / $103.03	Professional		$52.82	$70.06	$103.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $62.14 / $431.25	Facility		$47.23	$62.14	$431.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $60.28 / $80.78	Professional		$38.84	$60.28	$80.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $62.14 / $161.93	Facility		$46.61	$62.14	$161.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $46.95 / $83.80	Professional		$32.93	$46.95	$83.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.52 / $47.89	Professional		$26.10	$33.52	$47.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $28.73 / $62.14	Professional		$24.23	$28.73	$62.14