Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Facility		$549.54	$549.54	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,023.29	Professional		$416.87	$549.54	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $954.99	Professional		$660.69	$870.96	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,258.93	Professional		$891.25	$954.99	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,943.28 / $7,943.28	Professional		$6,165.95	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $933.25 / $1,513.56	Facility		$457.09	$933.25	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,096.48	Professional		$416.87	$562.34	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $724.44	Professional		$707.95	$707.95	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $933.25 / $1,548.82	Facility		$457.09	$933.25	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,071.52	Facility		$354.81	$645.65	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $724.44	Professional		$389.05	$588.84	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93