Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $136.55 / $182.96	Professional		$103.04	$136.55	$182.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $142.83	Professional		$99.82	$99.82	$142.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $81.84 / $94.40	Facility		$24.36	$81.84	$94.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $16.16 / $16.16	Professional		$14.54	$16.16	$16.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $24.36 / $48.57	Professional		$24.36	$24.36	$48.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $297.19 / $297.19	Facility		$215.60	$297.19	$297.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $229.60	Facility		$123.98	$123.98	$229.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $127.70	Professional		$105.38	$123.98	$127.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $1,102.70 / $1,142.90	Facility		$340.42	$1,102.70	$1,142.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $142.50 / $243.41	Facility		$29.29	$142.50	$243.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $79.17 / $266.18	Professional		$19.84	$79.17	$266.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $123.98 / $231.24	Facility		$29.29	$123.98	$231.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $126.46	Professional		$17.16	$123.98	$126.46
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $127.79 / $206.90	Professional		$80.84	$127.79	$206.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $173.21 / $173.21	Professional		$160.00	$173.21	$173.21