Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $233.74 / $329.81	Professional		$181.53	$233.74	$329.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $331.30 / $461.25	Professional		$289.88	$331.30	$461.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $28.77 / $28.77	Professional		$25.89	$28.77	$28.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $291.08 / $309.27	Professional		$254.70	$291.08	$309.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $32.99 / $521.30	Facility		$32.99	$32.99	$521.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $404.51	Facility		$243.42	$243.42	$404.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $325.88	Professional		$206.91	$243.42	$325.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $559.50 / $1,745.64 / $1,745.64	Facility		$559.50	$1,745.64	$1,745.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $323.18 / $521.30	Facility		$142.71	$323.18	$521.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $319.64 / $436.26	Professional		$33.33	$319.64	$436.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $279.83 / $521.30	Facility		$142.71	$279.83	$521.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $319.50	Professional		$206.91	$243.42	$319.50
United Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $220.31 / $317.14	Professional		$152.22	$220.31	$317.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $292.14 / $292.14	Professional		$292.14	$292.14	$292.14