Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $67.61	Professional		$33.11	$38.02	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $74.13	Professional		$52.48	$54.95	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $77.62	Professional		$46.77	$63.10	$77.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $79.43	Facility		$77.62	$77.62	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $691.83	Professional		$512.86	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $109.65	Facility		$33.88	$63.10	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $97.72	Professional		$33.88	$39.81	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Professional		$39.81	$39.81	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $109.65	Facility		$34.67	$60.26	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $89.13	Facility		$23.99	$38.02	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $54.95	Professional		$31.62	$45.71	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62