Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.98 / $384.98 / $415.77	Facility		$384.98	$384.98	$415.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $415.77 / $769.95	Professional		$376.57	$415.77	$769.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $523.90 / $624.30 / $659.49	Professional		$523.90	$624.30	$659.49
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 $418.47 / $418.47 / $523.57	Professional		$418.47	$418.47	$523.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $615.52 / $659.48 / $879.31	Professional		$615.52	$659.48	$879.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $879.31 / $1,058.19 / $1,058.19	Facility		$879.31	$1,058.19	$1,058.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $501.15	Facility		$501.15	$501.15	$501.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $501.15	Professional		$365.84	$365.84	$501.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,189.30 / $4,467.28 / $4,467.28	Facility		$4,189.30	$4,467.28	$4,467.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $6,015.15	Professional		$4,528.81	$4,528.81	$6,015.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $612.79 / $879.31	Facility		$258.31	$612.79	$879.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $747.41 / $879.31	Professional		$261.22	$747.41	$879.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $587.53 / $879.31	Facility		$258.31	$587.53	$879.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $600.00	Professional		$365.84	$365.84	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $493.25 / $612.29	Professional		$333.44	$493.25	$612.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $485.31 / $510.00 / $879.31	Professional		$485.31	$510.00	$879.31