Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.64 / $281.64 / $304.18	Facility		$281.64	$281.64	$304.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.64 / $304.18 / $563.29	Professional		$281.64	$304.18	$563.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.72 / $456.74 / $482.48	Professional		$357.72	$456.74	$482.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $383.04 / $383.04	Professional		$306.14	$383.04	$383.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $450.31 / $482.48 / $643.29	Professional		$450.31	$482.48	$643.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $643.29 / $643.29 / $643.29	Facility		$643.29	$643.29	$643.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $394.91	Professional		$288.27	$288.27	$394.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,305.62 / $3,476.53 / $3,476.53	Facility		$3,305.62	$3,476.53	$3,476.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,622.91 / $3,622.91 / $5,120.10	Professional		$3,622.91	$3,622.91	$5,120.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $460.41 / $643.29	Facility		$203.55	$460.41	$643.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $578.97 / $731.90	Professional		$205.84	$578.97	$731.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $429.83 / $643.29	Facility		$203.55	$429.83	$643.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $420.99	Professional		$288.27	$288.27	$420.99
United Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $388.69 / $475.05	Professional		$262.75	$388.69	$475.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.42 / $384.00 / $643.29	Professional		$382.42	$384.00	$643.29