Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $240.22 / $627.09	Facility		$95.26	$240.22	$627.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $95.57 / $154.47	Professional		$72.09	$95.57	$154.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $77.23 / $128.72	Professional		$64.37	$77.23	$128.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $397.30 / $680.18	Facility		$145.46	$397.30	$680.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $70.80 / $180.22	Professional		$5.00	$70.80	$180.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $115.86 / $180.22	Professional		$90.11	$115.86	$180.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.16 / $126.16 / $128.72	Facility		$126.16	$126.16	$128.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $295.33 / $650.50	Facility		$147.44	$295.33	$650.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $98.98 / $272.61	Professional		$72.89	$98.98	$272.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $321.13 / $611.47 / $611.47	Facility		$321.13	$611.47	$611.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $716.39 / $737.88 / $965.48	Professional		$716.39	$737.88	$965.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $138.07 / $222.00	Facility		$90.11	$138.07	$222.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $128.72 / $160.91	Professional		$122.29	$128.72	$160.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $173.79 / $540.48	Facility		$103.09	$173.79	$540.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $127.49 / $250.30	Professional		$74.45	$127.49	$250.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $95.35	Professional		$54.07	$76.08	$95.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $66.68 / $128.72	Professional		$63.57	$66.68	$128.72