Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $60.81 / $90.76	Professional		$46.03	$60.81	$90.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $95.11	Professional		$82.02	$82.02	$95.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $360.53 / $415.80	Facility		$107.30	$360.53	$415.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $7.13 / $7.13	Professional		$6.42	$7.13	$7.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $83.61 / $88.83	Professional		$73.16	$83.61	$88.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $96.48 / $129.03	Facility		$96.48	$96.48	$129.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $102.56	Facility		$65.95	$65.95	$102.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.12	Professional		$56.07	$65.95	$87.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $473.38 / $473.38	Facility		$151.72	$473.38	$473.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $80.78 / $129.03	Facility		$40.99	$80.78	$129.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $88.76 / $117.19	Professional		$11.89	$88.76	$117.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $69.65 / $129.03	Facility		$40.99	$69.65	$129.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.12	Professional		$56.07	$65.95	$87.12
United Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $61.76 / $91.09	Professional		$41.56	$61.76	$91.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $80.17 / $80.17	Professional		$80.02	$80.17	$80.17