Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,786.30 / $9,120.11	Facility		$602.56	$4,786.30	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $8,317.64	Professional		$588.84	$616.60	$8,317.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $1,071.52	Professional		$177.83	$512.86	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $2,454.71	Facility		$512.86	$1,288.25	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,890.45 / $4,786.30	Facility		$977.24	$3,890.45	$4,786.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $707.95 / $977.24	Facility		$645.65	$707.95	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $660.69 / $2,238.72	Facility		$588.84	$660.69	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $1,995.26	Professional		$588.84	$616.60	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $741.31 / $1,202.26	Facility		$602.56	$741.31	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $346.74	Facility		$331.13	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $724.44	Professional		$549.54	$724.44	$724.44