Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.54 / $351.54 / $379.66	Facility		$351.54	$351.54	$379.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.28 / $379.66 / $703.07	Professional		$349.28	$379.66	$703.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.38 / $570.08 / $602.20	Professional		$478.38	$570.08	$602.20
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 $382.12 / $382.12 / $478.09	Professional		$382.12	$382.12	$478.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $562.04 / $602.20 / $802.93	Professional		$562.04	$602.20	$802.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $696.05 / $696.05 / $802.93	Facility		$696.05	$696.05	$802.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $663.31	Professional		$484.22	$484.22	$663.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,900.79 / $4,017.59 / $4,817.02	Facility		$1,900.79	$4,017.59	$4,817.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,540.85 / $5,673.83 / $5,704.35	Professional		$5,540.85	$5,673.83	$5,704.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $566.09 / $802.93	Facility		$244.96	$566.09	$802.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $722.64 / $917.71	Professional		$247.73	$722.64	$917.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $574.65 / $802.93	Facility		$244.96	$574.65	$802.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $707.13	Professional		$484.22	$484.22	$707.13
United Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $467.77 / $584.71	Professional		$316.20	$467.77	$584.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $460.39 / $462.16 / $802.93	Professional		$460.39	$462.16	$802.93