Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $42.71 / $64.81	Professional		$30.57	$42.71	$64.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $79.19 / $89.94	Professional		$57.15	$79.19	$89.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $251.26 / $289.76	Facility		$74.78	$251.26	$289.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.66 / $5.66	Professional		$5.09	$5.66	$5.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $49.85 / $54.83	Professional		$45.16	$49.85	$54.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $62.46 / $89.94	Facility		$62.46	$62.46	$89.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $68.12	Facility		$41.54	$41.54	$68.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.54 / $55.62	Professional		$35.31	$41.54	$55.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $106.85 / $297.88 / $297.88	Facility		$106.85	$297.88	$297.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $62.66 / $89.94	Facility		$28.56	$62.66	$89.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $57.46 / $82.74	Professional		$6.25	$57.46	$82.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $52.27 / $89.94	Facility		$28.56	$52.27	$89.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.54 / $55.62	Professional		$35.31	$41.54	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $41.26 / $63.47	Professional		$27.36	$41.26	$63.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $50.46 / $50.46	Professional		$49.81	$50.46	$50.46