Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $376.94 / $493.33	Professional		$293.77	$376.94	$493.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $259.39 / $259.39	Professional		$259.39	$259.39	$259.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $146.91 / $263.70	Facility		$70.70	$146.91	$263.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $53.70 / $53.70	Professional		$48.33	$53.70	$53.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $185.00 / $582.05	Professional		$59.82	$185.00	$582.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $43.90 / $432.50	Facility		$43.90	$43.90	$432.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $396.27	Facility		$330.77	$330.77	$396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $330.77 / $396.27	Professional		$281.14	$330.77	$396.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.04 / $1,955.62 / $2,028.80	Facility		$1,623.04	$1,955.62	$2,028.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $342.68 / $676.26	Facility		$43.25	$342.68	$676.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $126.05 / $1,047.56	Professional		$39.79	$126.05	$1,047.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $342.68 / $664.81	Facility		$43.25	$342.68	$664.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $330.77 / $388.50	Professional		$35.97	$330.77	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $300.41 / $563.63	Professional		$208.24	$300.41	$563.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $332.22 / $766.60	Professional		$332.22	$332.22	$766.60