Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.11 / $545.11 / $588.72	Facility		$545.11	$545.11	$588.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $579.54 / $1,090.22	Professional		$454.20	$579.54	$1,090.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.83 / $933.80 / $933.80	Professional		$741.83	$933.80	$933.80
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 $592.54 / $592.54 / $741.35	Professional		$592.54	$592.54	$741.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $871.55 / $933.80 / $1,245.07	Professional		$871.55	$933.80	$1,245.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,090.22 / $1,090.22 / $1,245.07	Facility		$1,090.22	$1,090.22	$1,245.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $583.49	Professional		$425.95	$425.95	$583.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,826.53 / $4,826.53	Facility		$1,768.00	$4,826.53	$4,826.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,163.10 / $6,163.10 / $7,952.10	Professional		$6,163.10	$6,163.10	$7,952.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.75 / $867.69 / $1,245.07	Facility		$300.75	$867.69	$1,245.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $1,075.95 / $1,245.07	Professional		$304.14	$1,075.95	$1,245.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.75 / $831.92 / $1,245.07	Facility		$300.75	$831.92	$1,245.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $685.00	Professional		$425.95	$425.95	$685.00
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $574.29 / $706.83	Professional		$388.22	$574.29	$706.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.04 / $566.70 / $1,245.07	Professional		$565.04	$566.70	$1,245.07