Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $816.51 / $4,383.75	Facility		$3.46	$816.51	$4,383.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $379.06	Professional		$3.46	$3.46	$379.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $123.65 / $123.65	Professional		$123.65	$123.65	$123.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $739.94 / $739.94 / $791.38	Facility		$739.94	$739.94	$791.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.64 / $397.64 / $397.64	Facility		$397.64	$397.64	$397.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $483.60	Facility		$100.00	$100.00	$483.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $375.85 / $375.85 / $375.85	Professional		$375.85	$375.85	$375.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.53 / $269.62	Facility		$3.46	$3.53	$269.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $3.53 / $9.82	Facility		$3.46	$3.53	$9.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $217.98	Professional		$217.98	$217.98	$217.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,807.00 / $1,807.00 / $2,439.44	Professional		$1,807.00	$1,807.00	$2,439.44