Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.37 / $333.37 / $360.04	Facility		$333.37	$333.37	$360.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.04 / $360.04 / $666.74	Professional		$329.04	$360.04	$666.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $540.62 / $571.08	Professional		$423.41	$540.62	$571.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.38 / $453.38 / $453.38	Professional		$362.38	$453.38	$453.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $533.01 / $571.08 / $761.44	Professional		$533.01	$571.08	$761.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $761.44 / $761.44 / $761.44	Facility		$761.44	$761.44	$761.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $448.56	Professional		$327.45	$327.45	$448.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,726.17 / $4,468.09 / $4,468.09	Facility		$3,726.17	$4,468.09	$4,468.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,656.22 / $4,656.22 / $5,291.18	Professional		$4,656.22	$4,656.22	$5,291.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $534.20 / $761.44	Facility		$227.22	$534.20	$761.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.78 / $685.30 / $940.65	Professional		$229.78	$685.30	$940.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $508.76 / $761.44	Facility		$227.22	$508.76	$761.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $478.19	Professional		$327.45	$327.45	$478.19
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $433.89 / $530.29	Professional		$293.30	$433.89	$530.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.90 / $455.05 / $761.44	Professional		$426.90	$455.05	$761.44