Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $123.84 / $389.75	Facility		$48.37	$123.84	$389.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $52.18 / $70.02	Professional		$43.31	$52.18	$70.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $43.31 / $45.12	Professional		$34.65	$43.31	$45.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $226.68 / $401.38	Facility		$80.84	$226.68	$401.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $38.26 / $71.47	Professional		$5.00	$38.26	$71.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $104.68 / $133.55	Facility		$68.98	$104.68	$133.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $71.87 / $108.29	Professional		$50.53	$71.87	$108.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $71.65 / $72.19	Facility		$71.65	$71.65	$72.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $135.60 / $312.56	Facility		$46.88	$135.60	$312.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $52.11 / $109.96	Professional		$34.01	$52.11	$109.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $342.90 / $342.90	Facility		$140.52	$342.90	$342.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $72.19 / $79.41	Facility		$52.57	$72.19	$79.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $72.19 / $77.15	Professional		$68.17	$72.19	$77.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $72.19 / $157.65	Facility		$50.53	$72.19	$157.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $55.59 / $102.29	Professional		$34.01	$55.59	$102.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $43.31	Professional		$30.32	$30.32	$43.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $28.88 / $72.19	Professional		$28.15	$28.88	$72.19