Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.27 / $268.33 / $356.75	Professional		$212.27	$268.33	$356.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $193.95 / $193.95	Professional		$193.95	$193.95	$193.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $142.69 / $166.47	Facility		$44.63	$142.69	$166.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $29.62 / $29.62	Professional		$27.55	$29.62	$29.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $54.52 / $54.52	Professional		$21.98	$54.52	$54.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $436.80 / $436.80	Facility		$436.80	$436.80	$436.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $466.38	Facility		$256.50	$256.50	$466.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $256.50 / $386.04	Professional		$218.03	$256.50	$386.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $754.33 / $1,497.41 / $1,552.02	Facility		$754.33	$1,497.41	$1,552.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $172.89 / $378.14	Facility		$42.94	$172.89	$378.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $170.56 / $528.51	Professional		$40.19	$170.56	$528.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $172.89 / $376.40	Facility		$51.38	$172.89	$376.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $386.04	Professional		$35.83	$256.50	$386.04
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $212.60 / $348.12	Professional		$152.66	$212.60	$348.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.26 / $360.26 / $378.66	Professional		$360.26	$360.26	$378.66