Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.63 / $580.55 / $1,223.42	Facility		$194.63	$580.55	$1,223.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $195.66 / $308.94	Professional		$144.16	$195.66	$308.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $154.47	Professional		$128.72	$128.72	$154.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.92 / $794.60 / $1,360.36	Facility		$290.92	$794.60	$1,360.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $141.60 / $360.43	Professional		$5.00	$141.60	$360.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $386.18 / $1,124.00	Facility		$257.45	$386.18	$1,124.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $264.20 / $418.06	Professional		$231.71	$264.20	$418.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Facility		$257.45	$257.45	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $569.32 / $1,203.72	Facility		$294.89	$569.32	$1,203.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $191.33 / $540.10	Professional		$145.96	$191.33	$540.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.75 / $1,228.92 / $1,228.92	Facility		$630.75	$1,228.92	$1,228.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.56 / $1,870.44 / $1,930.88	Professional		$1,820.56	$1,870.44	$1,930.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $316.32 / $559.97	Facility		$206.16	$316.32	$559.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $321.81	Professional		$257.45	$257.45	$321.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $382.93 / $940.45	Facility		$208.53	$382.93	$940.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $255.38 / $500.59	Professional		$149.08	$255.38	$500.59
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $147.51 / $213.01	Professional		$108.13	$147.51	$213.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $133.36 / $257.45	Professional		$127.14	$133.36	$257.45