Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $467.74	Facility		$72.44	$181.97	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $107.15	Professional		$57.54	$77.62	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $275.42 / $512.86	Facility		$107.15	$275.42	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $53.70 / $120.23	Professional		$5.50	$53.70	$120.23
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $389.05	Facility		$89.13	$151.36	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $138.04	Facility		$97.72	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $177.83 / $416.87	Facility		$74.13	$177.83	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $147.91	Professional		$42.66	$50.12	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $223.87	Facility		$48.98	$97.72	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $107.15	Professional		$57.54	$83.18	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $83.18	Professional		$32.36	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $275.42	Facility		$48.98	$97.72	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $131.83	Professional		$42.66	$50.12	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $97.72	Facility		$35.48	$44.67	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $91.20	Professional		$37.15	$41.69	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $97.72	Professional		$38.02	$38.02	$97.72