Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $253.53 / $661.83	Facility		$106.51	$253.53	$661.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $102.12 / $135.86	Professional		$72.01	$102.12	$135.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $433.39 / $736.36	Facility		$168.47	$433.39	$736.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $72.01 / $120.92	Professional		$5.00	$72.01	$120.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $210.58 / $952.20	Facility		$135.86	$210.58	$952.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $135.06 / $190.20	Professional		$95.10	$135.06	$190.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $135.86 / $156.55	Facility		$135.86	$135.86	$156.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $296.72 / $605.42	Facility		$83.09	$296.72	$605.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $101.63 / $229.22	Professional		$45.30	$101.63	$229.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $645.34 / $645.34	Facility		$323.83	$645.34	$645.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $135.86 / $164.39	Facility		$101.90	$135.86	$164.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $135.86 / $168.25	Professional		$122.27	$135.86	$168.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.54 / $135.86 / $314.10	Facility		$100.54	$135.86	$314.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $104.46 / $194.63	Professional		$45.30	$104.46	$194.63
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $63.40 / $97.30	Professional		$40.86	$63.40	$97.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $67.09 / $135.86	Professional		$52.99	$67.09	$135.86