Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.04 / $301.04 / $325.12	Facility		$301.04	$301.04	$325.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.86 / $325.12 / $602.07	Professional		$278.86	$325.12	$602.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.66 / $515.69 / $515.69	Professional		$409.66	$515.69	$515.69
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 $327.23 / $327.23 / $409.41	Professional		$327.23	$327.23	$409.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $481.31 / $515.69 / $687.59	Professional		$481.31	$515.69	$687.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $360.97 / $360.97 / $687.59	Facility		$360.97	$360.97	$687.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $276.69	Professional		$276.69	$276.69	$276.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.46 / $3,128.86 / $3,710.94	Facility		$1,189.46	$3,128.86	$3,710.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.63 / $3,890.63 / $5,859.38	Professional		$3,890.63	$3,890.63	$5,859.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $479.16 / $687.59	Facility		$188.72	$479.16	$687.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $618.83 / $688.82	Professional		$190.85	$618.83	$688.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $459.41 / $687.59	Facility		$188.72	$459.41	$687.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $572.74	Professional		$276.69	$276.69	$572.74
United Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $360.36 / $450.45	Professional		$243.60	$360.36	$450.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $355.30 / $687.59	Professional		$354.55	$355.30	$687.59