Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $52.48	Facility		$12.30	$12.30	$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 $4.37 / $10.96 / $20.89	Professional		$4.37	$10.96	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $4.90 / $12.02	Facility		$2.09	$4.90	$12.02
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
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 / $19.50 / $41.69	Professional		$12.30	$19.50	$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 $16.22 / $23.99 / $39.81	Facility		$16.22	$23.99	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.30 / $60,255.96	Professional		$5.01	$12.30	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.72 / $10.72	Professional		$6.92	$10.72	$10.72
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 $8.51 / $10.23 / $22.91	Professional		$8.51	$10.23	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $5.01	Professional		$4.90	$4.90	$5.01