Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $89.63 / $96.80	Facility		$89.63	$89.63	$96.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $95.29 / $179.26	Professional		$73.06	$95.29	$179.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $125.64 / $153.53	Professional		$121.98	$125.64	$153.53
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 $97.43 / $97.43 / $121.90	Professional		$97.43	$97.43	$121.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $153.53 / $204.71	Professional		$143.30	$153.53	$204.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $136.44 / $204.71	Facility		$136.44	$136.44	$204.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $799.68 / $818.84 / $818.84	Facility		$799.68	$818.84	$818.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.46 / $1,019.46 / $1,206.75	Professional		$1,019.46	$1,019.46	$1,206.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $142.66 / $204.71	Facility		$49.45	$142.66	$204.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $173.13 / $204.71	Professional		$50.01	$173.13	$204.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $136.79 / $204.71	Facility		$49.45	$136.79	$204.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $105.87	Professional		$72.50	$72.50	$105.87
United Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $94.43 / $115.42	Professional		$63.84	$94.43	$115.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $93.24 / $204.71	Professional		$92.91	$93.24	$204.71