Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $254.73 / $275.10	Facility		$254.73	$254.73	$275.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $270.82 / $509.45	Professional		$226.77	$270.82	$509.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $413.09 / $436.36	Professional		$346.64	$413.09	$436.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $276.89 / $346.43	Professional		$276.89	$276.89	$346.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $407.27 / $436.36 / $581.80	Professional		$407.27	$436.36	$581.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $509.45 / $509.45 / $581.80	Facility		$509.45	$509.45	$581.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $311.77	Professional		$227.60	$227.60	$311.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,310.33 / $2,370.48 / $2,370.48	Facility		$2,310.33	$2,370.48	$2,370.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,879.96 / $2,879.96 / $3,781.20	Professional		$2,879.96	$2,879.96	$3,781.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $405.47 / $581.80	Facility		$140.54	$405.47	$581.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $455.36 / $581.80	Professional		$142.13	$455.36	$581.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $388.75 / $581.80	Facility		$140.54	$388.75	$581.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $332.37	Professional		$227.60	$227.60	$332.37
United Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $268.37 / $335.46	Professional		$181.41	$268.37	$335.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $264.64 / $581.80	Professional		$264.10	$264.64	$581.80