Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $61.66	Professional		$28.84	$39.81	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $67.61	Professional		$19.95	$19.95	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $70.79	Professional		$50.12	$69.18	$70.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $102.33	Professional		$70.79	$70.79	$102.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $50.12	Facility		$38.02	$43.65	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $91.20	Professional		$23.44	$30.20	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $426.58	Professional		$331.13	$426.58	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $89.13	Facility		$34.67	$54.95	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $93.33	Professional		$28.18	$48.98	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $79.43	Facility		$30.20	$45.71	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $97.72	Professional		$22.91	$30.20	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $109.65	Professional		$30.20	$34.67	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29