Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $97.72	Facility		$12.02	$30.90	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.95	Professional		$10.00	$12.88	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $52.48 / $97.72	Facility		$19.05	$52.48	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $16.22	Professional		$5.01	$8.91	$16.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $100.00	Facility		$15.14	$24.55	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $19.05	Facility		$16.22	$16.22	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $35.48 / $87.10	Facility		$15.85	$35.48	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.48 / $28.18	Professional		$8.71	$11.48	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.22 / $32.36	Facility		$12.30	$16.22	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $21.38	Professional		$8.91	$14.79	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $13.80	Professional		$12.30	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $47.86	Facility		$13.18	$16.22	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $28.18	Professional		$9.12	$12.02	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $9.77 / $16.22	Facility		$5.89	$9.77	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.55 / $13.80	Professional		$6.92	$9.55	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $16.22	Professional		$6.46	$6.46	$16.22