Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $61.37 / $239.20	Facility		$10.43	$61.37	$239.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $11.67 / $13.73	Professional		$7.69	$11.67	$13.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.24 / $9.53	Professional		$6.59	$8.24	$9.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $44.76 / $82.24	Facility		$17.16	$44.76	$82.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.28 / $12.22	Professional		$5.00	$7.28	$12.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $21.97 / $81.29	Facility		$13.73	$21.97	$81.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.54 / $20.60	Professional		$9.61	$13.54	$20.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $88.20 / $88.20	Facility		$13.73	$88.20	$88.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $29.97 / $61.91	Facility		$9.60	$29.97	$61.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.11 / $21.16	Professional		$7.28	$10.11	$21.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $83.93 / $83.93	Facility		$58.34	$83.93	$83.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $13.73 / $16.48	Facility		$10.98	$13.73	$16.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $13.73 / $17.89	Professional		$12.84	$13.73	$17.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $13.73 / $34.21	Facility		$10.98	$13.73	$34.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.56 / $19.67	Professional		$7.28	$10.56	$19.67
United Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $5.77 / $13.73	Facility		$4.94	$5.77	$13.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.05 / $13.73	Professional		$5.77	$8.05	$13.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.78 / $13.73	Professional		$5.35	$6.78	$13.73