Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.76 / $91.52	Facility		$12.30	$30.76	$91.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $12.41 / $18.07	Professional		$10.44	$12.41	$18.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.18 / $11.18	Professional		$8.94	$11.18	$11.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $53.31 / $97.67	Facility		$20.32	$53.31	$97.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.88 / $18.27	Professional		$5.00	$9.88	$18.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.78 / $29.82	Professional		$13.05	$16.78	$29.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Facility		$18.64	$18.64	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $27.27 / $83.06	Facility		$12.01	$27.27	$83.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $10.51 / $35.75	Professional		$7.61	$10.51	$35.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $88.54 / $88.54	Facility		$29.82	$88.54	$88.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.64 / $20.50	Facility		$13.42	$18.64	$20.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $18.64 / $18.64	Professional		$16.78	$18.64	$18.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $18.64 / $25.91	Facility		$13.01	$18.64	$25.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.78 / $19.67	Professional		$9.55	$16.78	$19.67
United Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $7.83 / $18.64	Facility		$6.71	$7.83	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $11.18	Professional		$7.83	$7.83	$11.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.46 / $18.64	Professional		$7.27	$7.46	$18.64