Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.67 / $222.67 / $240.48	Facility		$222.67	$222.67	$240.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $236.73 / $445.33	Professional		$199.68	$236.73	$445.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $361.08 / $381.43	Professional		$303.02	$361.08	$381.43
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 $242.04 / $242.04 / $302.82	Professional		$242.04	$242.04	$302.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $381.43 / $508.57	Professional		$356.00	$381.43	$508.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $343.24 / $343.24 / $508.57	Facility		$343.24	$343.24	$508.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $248.05	Professional		$181.08	$181.08	$248.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $762.86 / $2,003.74 / $2,003.74	Facility		$762.86	$2,003.74	$2,003.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.42 / $2,517.42 / $3,814.28	Professional		$2,517.42	$2,517.42	$3,814.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $354.43 / $508.57	Facility		$122.85	$354.43	$508.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $398.05 / $508.57	Professional		$124.23	$398.05	$508.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $339.82 / $508.57	Facility		$122.85	$339.82	$508.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $282.89	Professional		$181.08	$181.08	$282.89
United Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $234.59 / $293.23	Professional		$158.58	$234.59	$293.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $231.73 / $508.57	Professional		$230.81	$231.73	$508.57