Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.01 / $418.01 / $451.45	Facility		$418.01	$418.01	$451.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.01 / $451.45 / $836.01	Professional		$418.01	$451.45	$836.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $568.85 / $677.87 / $716.06	Professional		$568.85	$677.87	$716.06
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 $454.37 / $454.37 / $568.49	Professional		$454.37	$454.37	$568.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $668.33 / $716.06 / $954.75	Professional		$668.33	$716.06	$954.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $585.21 / $585.21 / $954.75	Facility		$585.21	$585.21	$954.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $435.50	Professional		$435.50	$435.50	$435.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,025.45 / $5,050.38 / $6,046.75	Facility		$2,025.45	$5,050.38	$6,046.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,402.83 / $6,556.50 / $7,495.13	Professional		$6,402.83	$6,556.50	$7,495.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $669.83 / $954.75	Facility		$307.50	$669.83	$954.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $859.28 / $954.75	Professional		$310.97	$859.28	$954.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $637.92 / $954.75	Facility		$307.50	$637.92	$954.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $793.85	Professional		$435.50	$435.50	$793.85
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $635.08 / $733.98	Facility		$366.99	$635.08	$733.98
United Facility/Professional Professional Modifier Low / Median / High Price $396.93 / $587.17 / $722.67	Professional		$396.93	$587.17	$722.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $577.73 / $581.25 / $954.75	Professional		$577.73	$581.25	$954.75