Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $47.86 / $269.15	Facility		$10.00	$47.86	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $19.05	Professional		$7.94	$10.96	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $13.18	Professional		$7.94	$8.13	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $43.65 / $79.43	Facility		$16.22	$43.65	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $12.59	Professional		$5.01	$7.24	$12.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $81.28	Facility		$12.02	$19.95	$81.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $21.38	Professional		$9.33	$13.18	$21.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.84 / $70.79	Facility		$12.88	$28.84	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $22.39	Professional		$7.08	$9.55	$22.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.18 / $70.79	Facility		$10.00	$13.18	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $18.20	Professional		$7.08	$12.02	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $11.22	Professional		$10.00	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $38.90	Facility		$10.72	$13.18	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $22.39	Professional		$7.59	$9.77	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.94 / $13.18	Facility		$4.79	$7.94	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $11.48	Professional		$5.62	$7.76	$11.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $13.18	Professional		$5.13	$5.13	$13.18