Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $239.70 / $335.53	Professional		$188.37	$239.70	$335.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $322.89 / $477.99	Professional		$168.10	$322.89	$477.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $120.29 / $138.72	Facility		$35.79	$120.29	$138.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $23.75 / $23.75	Professional		$23.75	$23.75	$23.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $240.23 / $255.25	Professional		$210.20	$240.23	$255.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $430.60 / $754.00 / $754.00	Facility		$430.60	$754.00	$754.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $436.75	Facility		$209.52	$209.52	$436.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $290.14	Professional		$178.09	$209.52	$290.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $729.34 / $2,008.95 / $2,082.21	Facility		$729.34	$2,008.95	$2,082.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $272.29 / $430.60	Facility		$122.50	$272.29	$430.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $122.50 / $360.06	Professional		$39.61	$122.50	$360.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $226.20 / $430.60	Facility		$122.50	$226.20	$430.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $284.45	Professional		$31.65	$209.52	$284.45
United Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $206.39 / $272.22	Professional		$149.72	$206.39	$272.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $329.40 / $329.40	Professional		$285.55	$329.40	$329.40