Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.85 / $307.85 / $332.48	Facility		$307.85	$307.85	$332.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $326.32 / $615.70	Professional		$276.07	$326.32	$615.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $418.94 / $527.36 / $527.36	Professional		$418.94	$527.36	$527.36
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 $334.64 / $334.64 / $418.68	Professional		$334.64	$334.64	$418.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $492.21 / $527.36 / $703.15	Professional		$492.21	$527.36	$703.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $468.66 / $468.66 / $703.15	Facility		$468.66	$468.66	$703.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Facility		$329.53	$329.53	$329.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $329.53	Professional		$240.56	$240.56	$329.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,054.73 / $2,777.21 / $2,777.21	Facility		$1,054.73	$2,777.21	$2,777.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,480.59 / $3,480.59 / $5,273.63	Professional		$3,480.59	$3,480.59	$5,273.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.85 / $490.03 / $703.15	Facility		$169.85	$490.03	$703.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $594.62 / $703.15	Professional		$171.77	$594.62	$703.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.85 / $469.82 / $703.15	Facility		$169.85	$469.82	$703.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $391.12	Professional		$240.56	$240.56	$391.12
United Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $324.33 / $405.42	Professional		$219.25	$324.33	$405.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $319.89 / $703.15	Professional		$319.11	$319.89	$703.15