Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $202.51 / $454.74	Facility		$66.34	$202.51	$454.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $80.00 / $95.76	Professional		$50.00	$80.00	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $68.66 / $73.72	Professional		$39.43	$68.66	$73.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $310.11 / $592.75	Facility		$115.57	$310.11	$592.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $62.94 / $89.92	Professional		$5.00	$62.94	$89.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $165.92 / $728.19	Facility		$80.09	$165.92	$728.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $109.30 / $171.65	Professional		$85.82	$109.30	$171.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.14 / $112.14 / $112.14	Facility		$112.14	$112.14	$112.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $227.60 / $506.97	Facility		$55.72	$227.60	$506.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $149.53	Professional		$38.36	$60.16	$149.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $543.54 / $543.54	Facility		$183.09	$543.54	$543.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $138.37 / $173.14	Professional		$102.99	$138.37	$173.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $114.43 / $146.47	Facility		$75.52	$114.43	$146.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $114.43 / $137.32	Professional		$97.27	$114.43	$137.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.94 / $206.78 / $607.16	Facility		$60.94	$206.78	$607.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $61.55 / $114.43	Professional		$38.36	$61.55	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $68.66	Professional		$33.57	$48.06	$68.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $114.43	Professional		$31.98	$31.98	$114.43