Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $309.03	Professional		$169.82	$239.88	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $537.03	Professional		$229.09	$354.81	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $28.84	Professional		$24.55	$28.84	$28.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $331.13	Professional		$257.04	$309.03	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $537.03	Facility		$33.11	$33.11	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $346.74	Facility		$245.47	$245.47	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $323.59	Professional		$208.93	$245.47	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,737.80 / $1,737.80	Facility		$588.84	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $537.03	Facility		$141.25	$309.03	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $354.81	Professional		$141.25	$309.03	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $537.03	Facility		$141.25	$309.03	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $316.23	Professional		$208.93	$208.93	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $141.25 / $245.47	Facility		$16.60	$141.25	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $316.23	Professional		$151.36	$218.78	$316.23