Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $322.04 / $466.73	Professional		$242.25	$322.04	$466.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $669.33 / $669.33 / $669.33	Professional		$669.33	$669.33	$669.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.54 / $1,578.60 / $2,075.89	Facility		$556.54	$1,578.60	$2,075.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $36.92 / $36.92	Professional		$33.22	$36.92	$36.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $345.53 / $367.12	Professional		$302.33	$345.53	$367.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $494.17 / $494.17 / $669.33	Facility		$494.17	$494.17	$669.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $539.79	Facility		$333.25	$333.25	$539.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $440.85	Professional		$283.26	$333.25	$440.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $2,391.90 / $2,391.90	Facility		$766.64	$2,391.90	$2,391.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $415.39 / $669.33	Facility		$183.24	$415.39	$669.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $420.04 / $560.14	Professional		$45.47	$420.04	$560.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $354.71 / $669.33	Facility		$183.24	$354.71	$669.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $437.39	Professional		$283.26	$333.25	$437.39
United Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $290.25 / $407.19	Professional		$211.28	$290.25	$407.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $398.43 / $398.43	Professional		$398.43	$398.43	$398.43