Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $37.15 / $478.63	Facility		$15.85	$37.15	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $478.63	Professional		$15.85	$25.70	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $380.19	Professional		$316.23	$331.13	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $446.68 / $851.14	Facility		$173.78	$446.68	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $295.12 / $501.19	Professional		$14.45	$295.12	$501.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $602.56	Professional		$416.87	$489.78	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $204.17 / $380.19	Facility		$15.14	$204.17	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $64.57 / $407.38	Professional		$12.02	$64.57	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $3,467.37	Professional		$2,951.21	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $524.81	Facility		$16.22	$39.81	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $61.66 / $676.08	Professional		$15.85	$61.66	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $39.81 / $537.03	Facility		$15.85	$39.81	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $67.61 / $457.09	Professional		$12.30	$67.61	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $416.87	Facility		$302.00	$316.23	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $64.57 / $281.84	Professional		$14.45	$64.57	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19