Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $73.86 / $267.57	Facility		$13.72	$73.86	$267.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $15.51 / $20.88	Professional		$10.83	$15.51	$20.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $10.83 / $12.54	Professional		$8.66	$10.83	$12.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $56.68 / $106.50	Facility		$19.86	$56.68	$106.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.57 / $17.87	Professional		$5.00	$9.57	$17.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.98 / $101.36	Facility		$18.05	$27.98	$101.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $18.05 / $27.08	Professional		$12.64	$18.05	$27.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $18.05	Facility		$17.69	$17.69	$18.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $39.65 / $91.24	Facility		$12.61	$39.65	$91.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.18 / $30.64	Professional		$9.57	$13.18	$30.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $137.69 / $137.69	Facility		$57.87	$137.69	$137.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $18.05 / $23.47	Facility		$14.44	$18.05	$23.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $18.05 / $23.52	Professional		$17.12	$18.05	$23.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $18.05 / $45.41	Facility		$14.44	$18.05	$45.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.90 / $26.08	Professional		$9.57	$13.90	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.40 / $14.74	Professional		$7.58	$10.40	$14.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.91 / $18.05	Professional		$7.04	$8.91	$18.05