Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $30.20	Professional		$12.88	$19.05	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.91 / $25.70	Professional		$13.49	$22.91	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $36.31	Professional		$18.62	$35.48	$36.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $36.31	Professional		$20.42	$28.84	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.42 / $25.70	Facility		$18.20	$20.42	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $45.71	Professional		$10.96	$14.79	$45.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $218.78	Professional		$165.96	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $45.71	Facility		$16.22	$26.30	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $47.86	Professional		$12.88	$22.91	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $38.90	Facility		$15.14	$23.99	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $47.86	Professional		$10.72	$14.79	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $54.95	Professional		$14.13	$17.38	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $26.92	Professional		$10.47	$10.47	$26.92