Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $108.91 / $202.87	Professional		$81.30	$108.91	$202.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $172.73 / $238.94	Professional		$110.23	$172.73	$238.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $69.45 / $80.12	Facility		$20.67	$69.45	$80.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $13.72 / $13.72	Professional		$11.83	$13.72	$13.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $132.18 / $140.44	Professional		$115.66	$132.18	$140.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $601.94 / $601.94	Facility		$152.80	$601.94	$601.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $181.94	Facility		$110.00	$110.00	$181.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $110.00	Professional		$93.50	$93.50	$110.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $291.10 / $801.83 / $831.06	Facility		$291.10	$801.83	$831.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $103.60 / $206.54	Facility		$24.86	$103.60	$206.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $79.00 / $208.15	Professional		$22.87	$79.00	$208.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $108.91 / $202.88	Facility		$24.86	$108.91	$202.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $93.50 / $208.15	Professional		$15.00	$93.50	$208.15
United Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $101.28 / $175.56	Professional		$61.35	$101.28	$175.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $130.27 / $130.27	Professional		$124.29	$130.27	$130.27