Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $39.19 / $126.68	Facility		$13.55	$39.19	$126.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $13.72 / $21.66	Professional		$10.83	$13.72	$21.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $12.54	Professional		$12.54	$12.54	$12.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $59.56 / $108.12	Facility		$22.38	$59.56	$108.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.57 / $15.76	Professional		$5.00	$9.57	$15.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.98 / $106.86	Facility		$18.05	$27.98	$106.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $20.80	Facility		$18.05	$18.05	$20.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $37.69 / $84.42	Facility		$12.61	$37.69	$84.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.46 / $29.00	Professional		$9.57	$12.46	$29.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.74 / $85.74	Facility		$50.00	$85.74	$85.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $18.05 / $19.86	Facility		$13.15	$18.05	$19.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $18.05 / $23.52	Professional		$16.25	$18.05	$23.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $18.05 / $49.83	Facility		$13.15	$18.05	$49.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $13.90 / $25.86	Professional		$9.57	$13.90	$25.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.33 / $11.65	Professional		$7.58	$10.33	$11.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.91 / $18.05	Professional		$7.04	$8.91	$18.05