Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.45 / $351.45 / $379.57	Facility		$351.45	$351.45	$379.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $379.57 / $702.90	Professional		$286.52	$379.57	$702.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.28 / $569.95 / $602.05	Professional		$478.28	$569.95	$602.05
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 $382.03 / $382.03 / $477.97	Professional		$382.03	$382.03	$477.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $561.91 / $602.05 / $802.74	Professional		$561.91	$602.05	$802.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $541.76 / $541.76 / $802.74	Facility		$541.76	$541.76	$802.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,201.26 / $3,210.96 / $3,210.96	Facility		$3,201.26	$3,210.96	$3,210.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,997.65 / $3,997.65 / $4,905.30	Professional		$3,997.65	$3,997.65	$4,905.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $559.42 / $802.74	Facility		$193.91	$559.42	$802.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.09 / $682.33 / $802.74	Professional		$196.09	$682.33	$802.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $536.37 / $802.74	Facility		$193.91	$536.37	$802.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $497.30	Professional		$278.88	$278.88	$497.30
United Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $370.27 / $462.84	Professional		$250.30	$370.27	$462.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $365.89 / $802.74	Professional		$364.30	$365.89	$802.74