Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.48 / $91.18 / $482.90	Facility		$63.48	$91.18	$482.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $68.56 / $126.96	Professional		$63.10	$68.56	$126.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $108.74 / $115.99	Professional		$86.39	$108.74	$115.99
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 $69.00 / $69.00 / $86.33	Professional		$69.00	$69.00	$86.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $115.99 / $179.22	Professional		$89.61	$115.99	$179.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.96 / $126.96 / $144.99	Facility		$126.96	$126.96	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $128.85	Facility		$126.00	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $128.85	Professional		$109.52	$109.52	$128.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.97 / $720.02 / $720.02	Facility		$289.97	$720.02	$720.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.68 / $763.57 / $1,087.43	Professional		$745.68	$763.57	$1,087.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $101.04 / $144.99	Facility		$46.70	$101.04	$144.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $130.49 / $144.99	Professional		$88.73	$130.49	$144.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $101.04 / $144.99	Facility		$46.70	$101.04	$144.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $128.85	Professional		$109.52	$109.52	$128.85
United Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $89.17 / $108.98	Professional		$60.28	$89.17	$108.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.89 / $144.99	Professional		$87.73	$87.89	$144.99