Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $235.68 / $298.30	Professional		$166.79	$235.68	$298.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $388.84 / $388.84	Professional		$204.14	$388.84	$388.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.59 / $1,151.09 / $1,286.16	Facility		$342.59	$1,151.09	$1,286.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $22.91 / $22.91	Professional		$20.62	$22.91	$22.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $258.60 / $258.60 / $258.60	Professional		$258.60	$258.60	$258.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $349.52 / $349.52 / $399.17	Facility		$349.52	$349.52	$399.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $371.64	Facility		$263.45	$263.45	$371.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $297.51	Professional		$223.93	$223.93	$297.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $768.42 / $1,779.10 / $1,798.02	Facility		$768.42	$1,779.10	$1,798.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $268.31 / $278.14 / $399.17	Facility		$268.31	$278.14	$399.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $283.89 / $378.53	Professional		$37.85	$283.89	$378.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $275.63 / $399.17	Facility		$263.45	$275.63	$399.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $263.45 / $325.58	Professional		$223.93	$263.45	$325.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $196.18 / $295.54	Professional		$151.32	$196.18	$295.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $293.85 / $293.85	Professional		$247.46	$293.85	$293.85