Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $876.67 / $1,019.94	Facility		$687.60	$876.67	$1,019.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $813.66 / $1,019.94	Professional		$516.40	$813.66	$1,019.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $106.00 / $631.76	Professional		$39.78	$106.00	$631.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.45 / $188.74 / $436.30	Facility		$104.45	$188.74	$436.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $134.71 / $134.71	Professional		$134.71	$134.71	$134.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $160.16 / $179.90	Professional		$160.16	$160.16	$179.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Facility		$96.00	$96.00	$96.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,754.28 / $4,832.10 / $5,008.26	Facility		$1,754.28	$4,832.10	$5,008.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,687.97 / $4,687.97 / $7,722.38	Professional		$4,687.97	$4,687.97	$7,722.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $390.80 / $1,602.56	Facility		$95.58	$390.80	$1,602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $117.86 / $285.18	Professional		$89.68	$117.86	$285.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $274.56 / $1,602.56	Facility		$95.58	$274.56	$1,602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $750.60 / $750.60	Professional		$103.26	$750.60	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $80.83 / $199.28	Professional		$50.71	$80.83	$199.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $945.27	Professional		$700.20	$700.20	$945.27