Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $106.51 / $154.36	Professional		$81.59	$106.51	$154.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $155.16 / $223.99	Professional		$142.36	$155.16	$223.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $625.79 / $721.76	Facility		$186.25	$625.79	$721.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.35 / $12.35	Professional		$11.12	$12.35	$12.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $157.43 / $167.27	Professional		$137.75	$157.43	$167.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.54 / $162.54 / $223.99	Facility		$162.54	$162.54	$223.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $181.84	Facility		$114.47	$114.47	$181.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $150.25	Professional		$97.30	$114.47	$150.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.14 / $821.01 / $821.01	Facility		$263.14	$821.01	$821.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $156.08 / $223.99	Facility		$71.15	$156.08	$223.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $149.54 / $203.39	Professional		$20.60	$149.54	$203.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $130.80 / $223.99	Facility		$71.15	$130.80	$223.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $150.25	Professional		$97.30	$114.47	$150.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $106.84 / $158.10	Professional		$72.56	$106.84	$158.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $139.44 / $140.30	Professional		$139.44	$139.44	$140.30