Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $512.86 / $7,943.28	Facility		$128.82	$512.86	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $288.40	Professional		$93.33	$93.33	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $95.50 / $181.97	Facility		$38.02	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $524.81	Facility		$83.18	$131.83	$524.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $295.12 / $7,943.28	Facility		$93.33	$295.12	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $288.40	Professional		$93.33	$93.33	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $302.00	Facility		$93.33	$134.90	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33