Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $38.02 / $109.65	Facility		$14.79	$38.02	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $23.99	Professional		$12.02	$15.85	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $16.98	Professional		$9.77	$12.30	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $67.61 / $112.20	Facility		$25.12	$67.61	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $18.62	Professional		$5.01	$10.96	$18.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $32.36	Professional		$14.13	$19.95	$32.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.38	Facility		$19.95	$19.95	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $93.33	Facility		$15.85	$38.90	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $30.90	Professional		$10.72	$12.02	$30.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $87.10	Facility		$14.79	$19.95	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $23.99	Professional		$12.02	$16.98	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $16.98	Professional		$15.14	$16.98	$16.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $56.23	Facility		$14.79	$19.95	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $30.90	Professional		$10.47	$12.59	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $19.95	Facility		$7.24	$12.02	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $15.14	Professional		$8.51	$10.72	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94