Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.92 / $480.40 / $1,254.18	Facility		$169.92	$480.40	$1,254.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $186.12 / $308.94	Professional		$144.16	$186.12	$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 $280.62 / $785.06 / $1,351.61	Facility		$280.62	$785.06	$1,351.61
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 Professional Modifier Low / Median / High Price $180.22 / $264.20 / $418.06	Professional		$180.22	$264.20	$418.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $257.45 / $257.45	Facility		$80.00	$257.45	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.24 / $596.11 / $1,301.00	Facility		$221.24	$596.11	$1,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $197.95 / $531.91	Professional		$145.96	$197.95	$531.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $556.82 / $1,222.89 / $1,222.89	Facility		$556.82	$1,222.89	$1,222.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.21 / $1,358.79 / $1,930.88	Professional		$1,319.21	$1,358.79	$1,930.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $257.70 / $411.92	Facility		$162.19	$257.70	$411.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $257.45 / $321.81	Professional		$244.58	$257.45	$321.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $302.37 / $1,089.57	Facility		$190.51	$302.37	$1,089.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $248.76 / $500.59	Professional		$149.08	$248.76	$500.59
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $147.51 / $183.82	Professional		$108.13	$147.51	$183.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $133.36 / $257.45	Professional		$127.14	$133.36	$257.45