Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.42 / $841.42 / $908.73	Facility		$841.42	$841.42	$908.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.57 / $894.56 / $1,682.84	Professional		$754.57	$894.56	$1,682.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,145.06 / $1,441.39 / $1,441.39	Professional		$1,145.06	$1,441.39	$1,441.39
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 $914.63 / $914.63 / $1,144.33	Professional		$914.63	$914.63	$1,144.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,345.30 / $1,441.39 / $1,921.85	Professional		$1,345.30	$1,441.39	$1,921.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,280.94 / $1,280.94 / $1,921.85	Facility		$1,280.94	$1,280.94	$1,921.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,200.11	Facility		$1,200.11	$1,200.11	$1,200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,200.11	Professional		$876.09	$876.09	$1,200.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,578.14 / $7,687.40 / $7,687.40	Facility		$7,578.14	$7,687.40	$7,687.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,570.81 / $9,570.81 / $10,810.43	Professional		$9,570.81	$9,570.81	$10,810.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.23 / $1,339.35 / $1,921.85	Facility		$464.23	$1,339.35	$1,921.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.47 / $1,625.22 / $1,921.85	Professional		$469.47	$1,625.22	$1,921.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.23 / $1,284.13 / $1,921.85	Facility		$464.23	$1,284.13	$1,921.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,200.11	Professional		$876.09	$876.09	$1,200.11
United Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $886.48 / $1,100.41	Professional		$599.25	$886.48	$1,100.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $872.19 / $874.06 / $1,921.85	Professional		$872.19	$874.06	$1,921.85