Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.43 / $235.43 / $254.26	Facility		$235.43	$235.43	$254.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $254.26 / $470.85	Professional		$216.59	$254.26	$470.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.38 / $329.99 / $403.29	Professional		$320.38	$329.99	$403.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.91 / $320.18 / $320.18	Professional		$255.91	$320.18	$320.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $376.40 / $403.29 / $537.72	Professional		$376.40	$403.29	$537.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $448.00 / $537.72	Facility		$448.00	$448.00	$537.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,277.66 / $2,486.48 / $2,486.48	Facility		$2,277.66	$2,486.48	$2,486.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,677.85 / $2,677.85 / $3,024.68	Professional		$2,677.85	$2,677.85	$3,024.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $374.74 / $537.72	Facility		$129.88	$374.74	$537.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $483.95 / $537.72	Professional		$131.36	$483.95	$537.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $359.29 / $537.72	Facility		$129.88	$359.29	$537.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $278.11	Professional		$190.44	$190.44	$278.11
United Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $248.03 / $307.88	Professional		$167.67	$248.03	$307.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $321.33 / $537.72	Professional		$244.03	$321.33	$537.72