Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $329.04 / $468.21	Professional		$235.48	$329.04	$468.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $421.44 / $681.03	Professional		$278.00	$421.44	$681.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $169.51 / $188.40	Facility		$50.45	$169.51	$188.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $33.72 / $33.72	Professional		$30.35	$33.72	$33.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $331.56 / $378.93 / $402.61	Professional		$331.56	$378.93	$402.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $560.40 / $1,023.80 / $1,023.80	Facility		$560.40	$1,023.80	$1,023.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $548.67	Facility		$279.36	$279.36	$548.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $382.62	Professional		$237.46	$279.36	$382.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,112.97 / $3,065.64 / $3,177.42	Facility		$1,112.97	$3,065.64	$3,177.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.78 / $373.24 / $560.40	Facility		$185.78	$373.24	$560.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $58.46 / $489.51	Professional		$53.78	$58.46	$489.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.78 / $340.00 / $560.40	Facility		$185.78	$340.00	$560.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $279.36 / $375.12	Professional		$44.04	$279.36	$375.12
United Facility/Professional Professional Modifier Low / Median / High Price $221.73 / $282.60 / $412.85	Professional		$221.73	$282.60	$412.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $430.61 / $430.61	Professional		$373.27	$430.61	$430.61