Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $309.03 / $645.65	Facility		$100.00	$309.03	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $263.03	Professional		$85.11	$120.23	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $141.25	Professional		$35.48	$70.79	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $457.09 / $741.31	Facility		$169.82	$457.09	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $77.62 / $194.98	Professional		$5.01	$77.62	$194.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $776.25	Facility		$128.82	$213.80	$776.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $245.47	Professional		$114.82	$169.82	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $645.65	Facility		$114.82	$281.84	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $281.84	Professional		$74.13	$100.00	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Professional		$707.95	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $478.63	Facility		$93.33	$151.36	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $245.47	Professional		$75.86	$120.23	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Professional		$120.23	$120.23	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $173.78 / $524.81	Facility		$107.15	$173.78	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $263.03	Professional		$72.44	$120.23	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $141.25	Facility		$51.29	$60.26	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $104.71	Professional		$60.26	$74.13	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $141.25	Professional		$120.23	$120.23	$141.25