Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $52.48	Facility		$10.47	$10.47	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.17 / $17.38	Professional		$3.89	$6.17	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $7.76 / $91.20	Facility		$2.29	$7.76	$91.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $25.70	Professional		$14.79	$23.99	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $95.50 / $128.82	Facility		$1.70	$95.50	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $41.69	Professional		$12.30	$22.39	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $39.81	Professional		$20.42	$22.91	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $39.81	Facility		$13.49	$23.99	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.47 / $60,255.96	Professional		$5.01	$10.47	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $10.23	Professional		$6.61	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $23.99 / $128.82	Facility		$2.00	$23.99	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $41.69	Professional		$12.30	$19.95	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.30 / $14.45	Facility		$8.32	$12.30	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $21.88	Professional		$8.13	$10.23	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.90	Professional		$4.79	$4.79	$4.90