Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.29 / $175.29 / $189.31	Facility		$175.29	$175.29	$189.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.56 / $189.31 / $350.58	Professional		$173.56	$189.31	$350.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $300.27 / $320.30	Professional		$300.27	$300.27	$320.30
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 $190.54 / $238.39 / $238.39	Professional		$190.54	$238.39	$238.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $312.18 / $400.37	Professional		$247.45	$312.18	$400.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $265.51 / $265.51 / $400.37	Facility		$265.51	$265.51	$400.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $301.92	Facility		$296.00	$296.00	$301.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $296.00	Professional		$216.08	$216.08	$296.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.32 / $2,177.31 / $2,177.31	Facility		$1,976.32	$2,177.31	$2,177.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.21 / $2,200.21 / $2,911.43	Professional		$2,200.21	$2,200.21	$2,911.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $280.89 / $400.37	Facility		$121.95	$280.89	$400.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $359.72 / $400.37	Professional		$123.33	$359.72	$400.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $286.55 / $400.37	Facility		$121.95	$286.55	$400.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $314.85	Professional		$216.08	$216.08	$314.85
United Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $232.88 / $304.48	Professional		$157.43	$232.88	$304.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $278.11 / $400.37	Professional		$250.17	$278.11	$400.37