Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $65.83 / $99.40	Facility		$55.01	$65.83	$99.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $71.45 / $100.34	Professional		$58.60	$71.45	$100.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $86.82 / $86.82	Professional		$86.82	$86.82	$86.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $196.74 / $371.20	Facility		$79.44	$196.74	$371.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $57.29 / $57.29	Professional		$48.69	$57.29	$57.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $166.23 / $190.35	Facility		$79.90	$166.23	$190.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $47.16 / $69.93	Facility		$47.16	$47.16	$69.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $100.00	Facility		$55.00	$70.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $86.30 / $147.96	Professional		$67.31	$86.30	$147.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.13 / $819.22 / $819.22	Facility		$167.13	$819.22	$819.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $558.21 / $576.63 / $596.17	Professional		$558.21	$576.63	$596.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $81.09 / $136.36	Facility		$56.56	$81.09	$136.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $92.51 / $127.02	Professional		$69.48	$92.51	$127.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $79.98 / $136.94	Facility		$56.56	$79.98	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $87.02 / $148.04	Professional		$67.73	$87.02	$148.04
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $75.64 / $134.47	Professional		$56.30	$75.64	$134.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $69.48 / $80.00	Professional		$60.73	$69.48	$80.00