Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.14 / $420.14 / $453.75	Facility		$420.14	$420.14	$453.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.14 / $453.75 / $840.27	Professional		$420.14	$453.75	$840.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $571.75 / $681.32 / $719.71	Professional		$571.75	$681.32	$719.71
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 $456.69 / $571.38 / $571.38	Professional		$456.69	$571.38	$571.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $671.73 / $719.71 / $959.61	Professional		$671.73	$719.71	$959.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.19 / $588.19 / $959.61	Facility		$588.19	$588.19	$959.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $694.09	Facility		$694.09	$694.09	$694.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $694.09	Professional		$506.69	$506.69	$694.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,987.84 / $5,149.18 / $5,149.18	Facility		$4,987.84	$5,149.18	$5,149.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,358.86 / $6,358.86 / $7,182.45	Professional		$6,358.86	$6,358.86	$7,182.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.44 / $671.63 / $959.61	Facility		$308.44	$671.63	$959.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.92 / $863.65 / $959.61	Professional		$311.92	$863.65	$959.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.44 / $673.24 / $959.61	Facility		$308.44	$673.24	$959.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $796.28	Professional		$506.69	$506.69	$796.28
United Facility/Professional Professional Modifier Low / Median / High Price $398.14 / $597.21 / $736.23	Professional		$398.14	$597.21	$736.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $579.49 / $582.85 / $959.61	Professional		$579.49	$582.85	$959.61