Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.13 / $302.13 / $735.80	Facility		$302.13	$302.13	$735.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $326.30 / $604.26	Professional		$287.51	$326.30	$604.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $489.96 / $517.55	Professional		$411.15	$489.96	$517.55
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 $328.42 / $328.42 / $410.90	Professional		$328.42	$328.42	$410.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $483.06 / $517.55 / $690.08	Professional		$483.06	$517.55	$690.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $461.51 / $461.51 / $690.08	Facility		$461.51	$461.51	$690.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,239.38 / $3,301.32 / $3,781.14	Facility		$1,239.38	$3,301.32	$3,781.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,654.76 / $4,766.49 / $4,766.49	Professional		$4,654.76	$4,766.49	$4,766.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $484.14 / $690.08	Facility		$192.28	$484.14	$690.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.45 / $621.07 / $796.03	Professional		$194.45	$621.07	$796.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $461.09 / $690.08	Facility		$192.28	$461.09	$690.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $498.18	Professional		$277.86	$277.86	$498.18
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $367.17 / $458.97	Professional		$248.21	$367.17	$458.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $412.43 / $690.08	Professional		$361.33	$412.43	$690.08