Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $190.55 / $416.87	Facility		$51.29	$190.55	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $245.47	Professional		$75.86	$104.71	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $93.33	Professional		$45.71	$91.20	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $309.03	Facility		$63.10	$162.18	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $389.05	Facility		$38.90	$60.26	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $117.49	Professional		$100.00	$100.00	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $162.18 / $426.58	Facility		$64.57	$162.18	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $204.17	Professional		$87.10	$112.20	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $102.33 / $104.71	Professional		$30.20	$102.33	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $346.74	Facility		$85.11	$123.03	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $117.49	Professional		$91.20	$114.82	$117.49