Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $289.77 / $697.22	Facility		$51.40	$289.77	$697.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $52.17 / $77.29	Professional		$36.07	$52.17	$77.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $38.65 / $44.73	Professional		$30.92	$38.65	$44.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $212.55 / $376.47	Facility		$79.87	$212.55	$376.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $34.14 / $56.24	Professional		$5.00	$34.14	$56.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $93.39 / $385.68	Facility		$45.09	$93.39	$385.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $67.63 / $67.63	Facility		$64.41	$67.63	$67.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $140.68 / $295.05	Facility		$45.01	$140.68	$295.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $47.11 / $108.87	Professional		$34.14	$47.11	$108.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $307.83 / $334.00	Facility		$211.59	$307.83	$334.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $64.41 / $95.82	Facility		$48.95	$64.41	$95.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $64.41 / $83.94	Professional		$57.97	$64.41	$83.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $64.41 / $160.53	Facility		$51.53	$64.41	$160.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $49.60 / $93.05	Professional		$34.14	$49.60	$93.05
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.85 / $64.41	Professional		$27.05	$36.85	$64.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.81 / $64.41	Professional		$25.12	$31.81	$64.41