Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $52.48	Facility		$11.22	$11.22	$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 / $12.30 / $12.30	Professional		$4.37	$12.30	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $4.47 / $436.52	Facility		$1.32	$4.47	$436.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $25.70	Professional		$22.39	$22.91	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
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 / $23.99 / $41.69	Professional		$12.30	$23.99	$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 $17.78 / $22.91 / $52.48	Facility		$17.78	$22.91	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $11.22 / $60,255.96	Professional		$2.45	$11.22	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $18.20	Professional		$11.75	$18.20	$18.20
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 / $10.72 / $14.45	Facility		$8.32	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.23 / $23.99	Professional		$9.55	$10.23	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32