Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $371.54	Facility		$85.11	$162.18	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $181.97	Professional		$70.79	$85.11	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Professional		$60.26	$70.79	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $138.04 / $257.04	Facility		$57.54	$138.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $147.91 / $331.13	Facility		$85.11	$147.91	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $177.83	Professional		$75.86	$85.11	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $257.04	Facility		$67.61	$93.33	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $89.13	Professional		$69.18	$85.11	$89.13