Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $116.30 / $177.38	Professional		$82.75	$116.30	$177.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $126.20 / $274.95	Professional		$125.31	$126.20	$274.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $68.04 / $78.48	Facility		$20.25	$68.04	$78.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $13.43	Professional		$13.43	$13.43	$13.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $145.83 / $154.94	Professional		$127.60	$145.83	$154.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.50 / $426.40 / $426.40	Facility		$170.50	$426.40	$426.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $184.40	Facility		$129.12	$129.12	$184.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $189.01	Professional		$109.75	$129.12	$189.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $330.93 / $911.54 / $944.78	Facility		$330.93	$911.54	$944.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $109.45 / $203.92	Facility		$24.34	$109.45	$203.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $77.33 / $203.75	Professional		$22.39	$77.33	$203.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $114.46 / $202.18	Facility		$24.34	$114.46	$202.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $132.99	Professional		$109.75	$129.12	$132.99
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $111.88 / $171.85	Professional		$66.95	$111.88	$171.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $139.97 / $160.38	Professional		$139.97	$139.97	$160.38