Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $144.54	Facility		$74.13	$109.65	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $128.82	Professional		$57.54	$89.13	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $151.36	Professional		$107.15	$134.90	$151.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	25	$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $141.25 / $269.15	Facility		$57.54	$141.25	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $128.82	Professional		$69.18	$97.72	$128.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $158.49	Professional		$128.82	$134.90	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $128.82	Facility		$77.62	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $173.78	Professional		$61.66	$102.33	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $154.88	Facility		$67.61	$95.50	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $165.96	Professional		$61.66	$93.33	$165.96
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $151.36	Facility		$66.07	$93.33	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $173.78	Professional		$60.26	$100.00	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $371.54	Facility		$269.15	$281.84	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $125.89	Professional		$46.77	$81.28	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $173.78	Professional		$74.13	$138.04	$173.78