Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $446.68	Facility		$416.87	$416.87	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $831.76	Professional		$407.38	$467.74	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $851.14	Professional		$537.03	$724.44	$851.14
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 $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $977.24	Professional		$676.08	$724.44	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $602.56	Professional		$436.52	$436.52	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $7,413.10	Professional		$6,606.93	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $1,318.26	Facility		$416.87	$794.33	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $933.25	Professional		$416.87	$467.74	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Professional		$501.19	$501.19	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $1,380.38	Facility		$416.87	$741.31	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $602.56	Professional		$436.52	$436.52	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,096.48	Facility		$363.08	$660.69	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $724.44	Professional		$398.11	$588.84	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24