Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.04 / $574.54 / $772.52	Professional		$460.04	$574.54	$772.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $265.29 / $399.00	Facility		$106.97	$265.29	$399.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $81.29 / $81.29	Professional		$61.43	$81.29	$81.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $263.10 / $274.00	Professional		$83.73	$263.10	$274.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $86.80 / $747.50	Facility		$86.80	$86.80	$747.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $697.70	Facility		$612.00	$612.00	$697.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $612.00 / $697.70	Professional		$69.77	$612.00	$697.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,798.90 / $3,513.43 / $3,641.54	Facility		$1,798.90	$3,513.43	$3,641.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $479.70 / $774.18	Facility		$74.75	$479.70	$774.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $473.32 / $1,466.39	Professional		$68.77	$473.32	$1,466.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $479.70 / $772.52	Facility		$74.75	$479.70	$772.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $612.00 / $612.00	Professional		$65.56	$612.00	$612.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $420.70 / $788.78	Professional		$296.83	$420.70	$788.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $610.39 / $610.39 / $988.40	Professional		$610.39	$610.39	$988.40