Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.76 / $371.76 / $401.50	Facility		$371.76	$371.76	$401.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $395.24 / $743.52	Professional		$303.08	$395.24	$743.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $505.91 / $636.84 / $636.84	Professional		$505.91	$636.84	$636.84
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 $404.11 / $404.11 / $505.59	Professional		$404.11	$404.11	$505.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $594.38 / $636.84 / $849.12	Professional		$594.38	$636.84	$849.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $743.52 / $743.52 / $849.12	Facility		$743.52	$743.52	$849.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $397.94	Facility		$397.94	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $397.94	Professional		$290.50	$290.50	$397.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.68 / $3,385.23 / $3,385.23	Facility		$1,273.68	$3,385.23	$3,385.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,203.14 / $4,203.14 / $4,776.30	Professional		$4,203.14	$4,203.14	$4,776.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $591.75 / $849.12	Facility		$205.11	$591.75	$849.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $718.05 / $849.12	Professional		$207.42	$718.05	$849.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $567.35 / $849.12	Facility		$205.11	$567.35	$849.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $472.32	Professional		$290.50	$290.50	$472.32
United Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $391.66 / $489.58	Professional		$264.76	$391.66	$489.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $386.54 / $849.12	Professional		$385.43	$386.54	$849.12