Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $56.47 / $75.44	Facility		$53.13	$56.47	$75.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $61.11 / $91.18	Professional		$53.72	$61.11	$91.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $73.54 / $73.54	Professional		$73.54	$73.54	$73.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $58.89 / $73.79	Professional		$52.18	$58.89	$73.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $73.65 / $73.65	Professional		$73.65	$73.65	$73.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.76 / $65.76 / $65.76	Facility		$65.76	$65.76	$65.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $53.10 / $53.10	Facility		$53.10	$53.10	$53.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $75.00 / $102.66	Professional		$59.36	$75.00	$102.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $370.69 / $370.69	Facility		$158.83	$370.69	$370.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $108.39 / $434.48	Professional		$82.46	$108.39	$434.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.14 / $84.17 / $116.44	Facility		$70.14	$84.17	$116.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $70.14 / $101.00	Professional		$58.43	$70.14	$101.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $75.44 / $129.47	Facility		$45.00	$75.44	$129.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $84.60 / $102.96	Professional		$58.43	$84.60	$102.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $69.14 / $91.20	Professional		$52.78	$69.14	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $61.29 / $97.39	Professional		$61.29	$61.29	$97.39