Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $9,332.54	Facility		$199.53	$380.19	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $323.59	Professional		$199.53	$199.53	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $501.19 / $933.25	Facility		$208.93	$501.19	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $6,606.93	Facility		$194.98	$380.19	$6,606.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $199.53	Facility		$186.21	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $478.63	Facility		$199.53	$239.88	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $524.81	Professional		$199.53	$199.53	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $588.84	Facility		$186.21	$269.15	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $223.87	Professional		$199.53	$223.87	$223.87