Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $232.15 / $305.18	Professional		$174.62	$232.15	$305.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.85 / $339.49	Professional		$100.00	$177.85	$339.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $98.00 / $161.84	Facility		$43.39	$98.00	$161.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $24.91 / $32.96	Professional		$24.91	$24.91	$32.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $302.76 / $367.64	Professional		$41.68	$302.76	$367.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $28.86 / $277.70	Facility		$28.86	$28.86	$277.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $258.98	Facility		$193.40	$193.40	$258.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $254.01	Professional		$164.39	$193.40	$254.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $1,288.56 / $1,335.56	Facility		$514.54	$1,288.56	$1,335.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $189.15 / $241.53	Facility		$27.77	$189.15	$241.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $60.00 / $622.83	Professional		$25.55	$60.00	$622.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $205.74 / $247.81	Facility		$27.77	$205.74	$247.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $193.40 / $253.90	Professional		$23.77	$193.40	$253.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $33.56 / $306.48	Professional		$14.25	$33.56	$306.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $422.50	Professional		$222.00	$222.00	$422.50