Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $60.11 / $67.95	Facility		$50.85	$60.11	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $64.98 / $90.87	Professional		$50.85	$64.98	$90.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $70.61 / $233.50	Professional		$49.43	$70.61	$233.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.03 / $201.22 / $337.03	Facility		$86.03	$201.22	$337.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $57.92 / $57.92	Professional		$57.92	$57.92	$57.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $319.48 / $319.48	Professional		$80.20	$319.48	$319.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $181.52	Facility		$181.52	$181.52	$181.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $252.99	Facility		$86.12	$86.12	$252.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $423.80 / $423.80	Facility		$148.44	$423.80	$423.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $653.40 / $847.90 / $847.90	Professional		$653.40	$847.90	$847.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $68.34 / $144.33	Facility		$34.42	$68.34	$144.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $70.61	Professional		$70.61	$70.61	$70.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $69.00 / $165.90	Facility		$32.08	$69.00	$165.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $178.19	Professional		$63.51	$63.51	$178.19
United Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $199.28 / $313.50	Professional		$147.88	$199.28	$313.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $335.66 / $453.14	Professional		$77.98	$335.66	$453.14