Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $467.74	Facility		$54.95	$72.44	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $134.90	Professional		$64.57	$75.86	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $194.98 / $363.08	Facility		$79.43	$194.98	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $60.26	Professional		$51.29	$60.26	$60.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $194.98	Facility		$81.28	$120.23	$194.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $69.18	Facility		$46.77	$46.77	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $107.15	Facility		$54.95	$70.79	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $151.36	Professional		$67.61	$91.20	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $602.56	Professional		$575.44	$602.56	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $83.18 / $147.91	Facility		$60.26	$83.18	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $138.04	Professional		$64.57	$83.18	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $147.91	Facility		$58.88	$83.18	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $147.91	Professional		$66.07	$87.10	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Facility		$57.54	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $128.82	Professional		$52.48	$75.86	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $70.79	Professional		$69.18	$70.79	$70.79