Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.08 / $790.20 / $1,049.67	Professional		$625.08	$790.20	$1,049.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $868.50 / $1,198.00 / $2,891.91	Professional		$868.50	$1,198.00	$2,891.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $114.53 / $427.20	Facility		$56.99	$114.53	$427.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $75.98 / $75.98	Professional		$72.23	$75.98	$75.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $648.30 / $740.92 / $787.23	Professional		$648.30	$740.92	$787.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,354.80 / $2,412.19 / $2,412.19	Facility		$1,354.80	$2,412.19	$2,412.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,317.74	Facility		$795.00	$795.00	$1,317.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $1,107.00	Professional		$675.75	$795.00	$1,107.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,110.09 / $7,110.09 / $7,369.29	Facility		$7,110.09	$7,110.09	$7,369.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $137.74 / $1,043.71	Facility		$98.66	$137.74	$1,043.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $135.47 / $4,804.38	Professional		$98.66	$135.47	$4,804.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $137.74 / $951.34	Facility		$98.66	$137.74	$951.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $795.00 / $810.90	Professional		$106.49	$795.00	$810.90
United Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $569.94 / $807.40	Professional		$484.44	$569.94	$807.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $759.90 / $1,014.01 / $1,014.01	Professional		$759.90	$1,014.01	$1,014.01