Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.24 / $348.18 / $968.17	Facility		$119.24	$348.18	$968.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $151.04 / $198.74	Professional		$119.24	$151.04	$198.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $139.12 / $139.12	Professional		$139.12	$139.12	$139.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $572.37 / $1,041.40	Facility		$216.63	$572.37	$1,041.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $105.33 / $135.76	Professional		$5.00	$105.33	$135.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $183.63 / $278.24	Professional		$139.12	$183.63	$278.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $196.75 / $196.75	Facility		$196.75	$196.75	$196.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $359.13 / $884.77	Facility		$85.53	$359.13	$884.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $259.22	Professional		$59.04	$60.16	$259.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.98 / $944.02 / $944.02	Facility		$317.98	$944.02	$944.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $206.45 / $300.29	Professional		$178.87	$206.45	$300.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.74 / $198.74 / $238.49	Facility		$144.74	$198.74	$238.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $198.74 / $238.49	Professional		$168.93	$198.74	$238.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $322.95 / $1,052.67	Facility		$93.75	$322.95	$1,052.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $127.84 / $198.74	Professional		$59.04	$127.84	$198.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.47 / $119.24	Professional		$69.73	$83.47	$119.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $198.74	Professional		$31.98	$31.98	$198.74