Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $50.60 / $146.34	Facility		$18.98	$50.60	$146.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $17.89 / $32.53	Professional		$14.78	$17.89	$32.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.94 / $16.94	Professional		$16.27	$16.94	$16.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $77.53 / $142.97	Facility		$29.28	$77.53	$142.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.37 / $27.11	Professional		$5.00	$14.37	$27.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $39.31 / $47.44	Facility		$25.99	$39.31	$47.44
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 / $27.11 / $27.11	Facility		$27.11	$27.11	$27.11
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 $50.00 / $128.77 / $128.77	Facility		$50.00	$128.77	$128.77
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 / $27.11	Professional		$23.53	$27.11	$27.11
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 Facility Modifier Low / Median / High Price $9.76 / $11.39 / $27.11	Facility		$9.76	$11.39	$27.11
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