Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $128.94	Facility		$119.39	$119.39	$128.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $128.94 / $238.78	Professional		$119.39	$128.94	$238.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $204.52 / $218.15	Professional		$204.52	$204.52	$218.15
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 $129.78 / $162.37 / $162.37	Professional		$129.78	$162.37	$162.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $170.06 / $218.15 / $272.69	Professional		$170.06	$218.15	$272.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $272.69 / $272.69 / $272.69	Facility		$272.69	$272.69	$272.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $170.64 / $170.64	Facility		$168.00	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $170.64	Professional		$124.57	$124.57	$170.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $458.54 / $1,269.54 / $1,269.54	Facility		$458.54	$1,269.54	$1,269.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.39 / $1,431.39 / $2,158.80	Professional		$1,431.39	$1,431.39	$2,158.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $191.32 / $272.69	Facility		$77.55	$191.32	$272.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $245.42 / $289.17	Professional		$78.42	$245.42	$289.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $182.21 / $272.69	Facility		$77.55	$182.21	$272.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $181.91	Professional		$124.57	$124.57	$181.91
United Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $148.09 / $195.43	Professional		$100.10	$148.09	$195.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $180.77 / $272.69	Professional		$162.69	$180.77	$272.69