Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $1,047.13	Facility		$812.83	$831.76	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,047.13	Professional		$524.81	$812.83	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Professional		$83.18	$83.18	$97.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $3,715.35	Facility		$1,819.70	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $812.83 / $1,258.93	Facility		$74.13	$812.83	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,047.13	Professional		$549.54	$812.83	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $1,230.27	Professional		$81.28	$123.03	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,348.96	Facility		$741.31	$933.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $691.83	Professional		$295.12	$295.12	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,862.09	Professional		$588.84	$1,096.48	$1,862.09