Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $88.67 / $255.21	Facility		$20.50	$88.67	$255.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $19.45 / $28.20	Professional		$14.36	$19.45	$28.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.27 / $16.94	Professional		$13.01	$16.27	$16.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $84.58 / $150.72	Facility		$30.36	$84.58	$150.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.37 / $26.84	Professional		$5.00	$14.37	$26.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $39.31 / $50.15	Facility		$25.99	$39.31	$50.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $27.08 / $40.67	Professional		$18.98	$27.08	$40.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $28.46 / $28.46	Facility		$27.11	$28.46	$28.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $53.92 / $119.97	Facility		$17.61	$53.92	$119.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $31.39 / $41.30	Professional		$14.37	$31.39	$41.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $170.77 / $170.77	Facility		$170.77	$170.77	$170.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $27.11 / $29.82	Facility		$19.75	$27.11	$29.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $27.11 / $29.82	Professional		$23.53	$27.11	$29.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $27.11 / $47.44	Facility		$18.98	$27.11	$47.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $24.40 / $44.85	Professional		$14.37	$24.40	$44.85
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $16.27	Professional		$11.39	$11.39	$16.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.84 / $27.11	Professional		$10.57	$10.84	$27.11