Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $69.18 / $104.71	Facility		$61.66	$69.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $95.50	Professional		$60.26	$69.18	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $95.50	Professional		$67.61	$79.43	$95.50
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	25	$93.33	$93.33	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $229.09 / $416.87	Facility		$100.00	$229.09	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $81.28	Professional		$57.54	$69.18	$81.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $70.79 / $87.10	Facility		$64.57	$70.79	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $138.04	Professional		$67.61	$89.13	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $100.00	Facility		$60.26	$70.79	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $107.15	Professional		$60.26	$69.18	$107.15
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 $60.26 / $72.44 / $100.00	Facility		$60.26	$72.44	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $138.04	Professional		$67.61	$89.13	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $125.89	Professional		$63.10	$87.10	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $107.15	Professional		$61.66	$87.10	$107.15