Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $186.60 / $475.20	Facility		$74.00	$186.60	$475.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $91.54 / $124.85	Professional		$60.00	$91.54	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $60.00	Professional		$35.00	$48.00	$60.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $308.00 / $542.00	Facility		$109.00	$308.00	$542.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $53.00 / $94.00	Professional		$5.00	$53.00	$94.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $99.64 / $140.00	Professional		$70.00	$99.64	$140.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $98.00 / $100.00	Facility		$98.00	$98.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $173.45 / $428.47	Facility		$69.73	$173.45	$428.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $53.20 / $152.30	Professional		$41.74	$53.20	$152.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $475.00 / $475.00	Facility		$160.00	$475.00	$475.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $124.85	Facility		$75.00	$100.00	$124.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Professional		$90.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $237.42	Facility		$75.00	$100.00	$237.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $67.16 / $108.24	Professional		$41.74	$67.16	$108.24
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $42.00 / $60.00	Professional		$36.63	$42.00	$60.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $40.00 / $100.00	Professional		$39.00	$40.00	$100.00