Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.58 / $633.82 / $764.78	Facility		$515.58	$633.82	$764.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $575.73 / $764.78	Professional		$432.63	$575.73	$764.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.36 / $454.36 / $480.00	Professional		$454.36	$454.36	$480.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $68.84 / $68.84	Professional		$59.47	$68.84	$68.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $870.21 / $943.50	Professional		$80.08	$870.21	$943.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $72.31 / $754.60	Facility		$72.31	$72.31	$754.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $668.41	Facility		$578.29	$578.29	$668.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $578.29 / $668.41	Professional		$491.56	$578.29	$668.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,932.07 / $3,720.55 / $3,856.19	Facility		$1,932.07	$3,720.55	$3,856.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $512.10 / $764.78	Facility		$75.45	$512.10	$764.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $132.38 / $1,415.60	Professional		$69.42	$132.38	$1,415.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $512.10 / $710.32	Facility		$75.45	$512.10	$710.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $578.29 / $595.65	Professional		$59.82	$578.29	$595.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $78.03 / $781.91	Professional		$39.24	$78.03	$781.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $560.55 / $674.00	Professional		$560.55	$560.55	$674.00