Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $522.47 / $689.78	Professional		$383.00	$522.47	$689.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $507.95 / $507.95 / $507.95	Professional		$507.95	$507.95	$507.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $76.41 / $76.41	Professional		$68.77	$76.41	$76.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $148.33 / $148.33	Professional		$89.23	$148.33	$148.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $513.00 / $513.00	Facility		$513.00	$513.00	$513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.75 / $654.75 / $864.28	Facility		$654.75	$654.75	$864.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $654.75 / $750.00	Professional		$49.75	$654.75	$750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,018.09 / $2,522.61 / $2,572.03	Facility		$2,018.09	$2,522.61	$2,572.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $511.16 / $991.87	Facility		$51.30	$511.16	$991.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $504.32 / $1,562.59	Professional		$47.20	$504.32	$1,562.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $511.16 / $916.51	Facility		$51.30	$511.16	$916.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $654.75 / $674.39	Professional		$44.35	$654.75	$674.39
United Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $448.28 / $840.59	Professional		$331.49	$448.28	$840.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $408.43 / $1,054.80	Professional		$408.43	$408.43	$1,054.80