Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $196.13 / $663.43	Facility		$47.06	$196.13	$663.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $35.97 / $56.68	Professional		$24.77	$35.97	$56.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.77 / $41.28	Professional		$14.45	$24.77	$41.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $129.62 / $231.58	Facility		$45.41	$129.62	$231.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.88 / $40.45	Professional		$5.00	$21.88	$40.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.98 / $244.27	Facility		$37.15	$63.98	$244.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $39.32 / $66.05	Professional		$30.96	$39.32	$66.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $40.86 / $41.28	Facility		$40.86	$40.86	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $90.69 / $208.91	Facility		$28.85	$90.69	$208.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.74 / $69.48	Professional		$21.88	$31.74	$69.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $196.95 / $196.95	Facility		$107.98	$196.95	$196.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.45 / $68.68	Professional		$37.15	$60.45	$68.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $41.28 / $127.41	Facility		$33.02	$41.28	$127.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.28 / $68.92	Professional		$37.15	$41.28	$68.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $41.28 / $102.87	Facility		$33.02	$41.28	$102.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.10 / $59.63	Professional		$21.88	$32.10	$59.63
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $23.62 / $33.70	Professional		$17.34	$23.62	$33.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $20.38 / $41.28	Professional		$16.10	$20.38	$41.28