Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $467.74 / $1,230.27	Facility		$169.82	$467.74	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $338.84	Professional		$158.49	$208.93	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $177.83	Professional		$154.88	$158.49	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $812.83 / $1,348.96	Facility		$288.40	$812.83	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $147.91 / $346.74	Professional		$5.01	$147.91	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $363.08	Professional		$181.97	$229.09	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $257.04	Facility		$79.43	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $537.03 / $1,288.25	Facility		$218.78	$537.03	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $562.34	Professional		$144.54	$199.53	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $1,949.84	Professional		$1,348.96	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $512.86	Facility		$194.98	$257.04	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $204.17 / $323.59	Professional		$7.94	$204.17	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $302.00 / $977.24	Facility		$194.98	$302.00	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $524.81	Professional		$144.54	$204.17	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $257.04	Facility		$93.33	$107.15	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $213.80	Professional		$107.15	$147.91	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $257.04	Professional		$100.00	$213.80	$257.04