Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.16 / $225.16 / $243.17	Facility		$225.16	$225.16	$243.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $243.17 / $450.32	Professional		$212.34	$243.17	$450.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.97 / $365.14 / $385.71	Professional		$285.97	$365.14	$385.71
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 $244.75 / $244.75 / $306.22	Professional		$244.75	$244.75	$306.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $385.71 / $514.28	Professional		$360.00	$385.71	$514.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $225.16 / $225.16 / $514.28	Facility		$225.16	$225.16	$514.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $293.77	Professional		$214.45	$214.45	$293.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.69 / $2,270.36 / $2,679.00	Facility		$969.69	$2,270.36	$2,679.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,957.04 / $3,028.01 / $3,172.50	Professional		$2,957.04	$3,028.01	$3,172.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $358.39 / $514.28	Facility		$136.24	$358.39	$514.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $437.14 / $514.28	Professional		$137.78	$437.14	$514.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $343.61 / $514.28	Facility		$136.24	$343.61	$514.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $313.17	Professional		$214.45	$214.45	$313.17
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $479.40 / $564.00	Facility		$479.40	$479.40	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $260.14 / $317.95	Professional		$175.86	$260.14	$317.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.97 / $272.08 / $514.28	Professional		$255.97	$272.08	$514.28