Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.37 / $571.37 / $617.08	Facility		$571.37	$571.37	$617.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $617.08 / $1,142.74	Professional		$571.37	$617.08	$1,142.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $777.56 / $978.79 / $978.79	Professional		$777.56	$978.79	$978.79
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 $621.08 / $621.08 / $777.06	Professional		$621.08	$621.08	$777.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $913.54 / $978.79 / $1,305.05	Professional		$913.54	$978.79	$1,305.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,142.74 / $1,142.74 / $1,305.05	Facility		$1,142.74	$1,142.74	$1,305.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $724.63	Facility		$724.63	$724.63	$724.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $724.63	Professional		$528.98	$528.98	$724.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,180.91 / $6,045.06 / $6,045.06	Facility		$2,180.91	$6,045.06	$6,045.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,535.45 / $6,535.45 / $9,502.79	Professional		$6,535.45	$6,535.45	$9,502.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $909.49 / $1,305.05	Facility		$373.50	$909.49	$1,305.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.71 / $1,174.55 / $1,305.05	Professional		$377.71	$1,174.55	$1,305.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $871.99 / $1,305.05	Facility		$373.50	$871.99	$1,305.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $772.49	Professional		$528.98	$528.98	$772.49
United Facility/Professional Professional Modifier Low / Median / High Price $482.12 / $713.21 / $871.99	Professional		$482.12	$713.21	$871.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $701.72 / $779.93 / $1,305.05	Professional		$701.72	$779.93	$1,305.05