Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $30.82 / $89.05	Facility		$12.35	$30.82	$89.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.89 / $15.85	Professional		$9.80	$13.89	$15.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $11.34	Professional		$9.80	$9.80	$11.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $52.94 / $91.67	Facility		$19.23	$52.94	$91.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.66 / $14.54	Professional		$5.00	$8.66	$14.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $26.14 / $80.37	Facility		$16.34	$26.14	$80.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $16.34 / $16.34	Facility		$15.65	$16.34	$16.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $35.90 / $81.96	Facility		$11.41	$35.90	$81.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.91 / $27.35	Professional		$8.66	$11.91	$27.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $77.84 / $77.84	Facility		$50.00	$77.84	$77.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $16.34 / $21.24	Facility		$13.07	$16.34	$21.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $16.34 / $21.29	Professional		$15.59	$16.34	$21.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $16.34 / $38.63	Facility		$13.07	$16.34	$38.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $12.57 / $23.61	Professional		$8.66	$12.57	$23.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $16.34 / $19.61	Facility		$9.59	$16.34	$19.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.35 / $13.52	Professional		$6.86	$9.35	$13.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.07 / $16.34	Professional		$6.37	$8.07	$16.34