Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $45.71 / $338.84	Facility		$12.59	$45.71	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $20.89	Professional		$10.00	$13.49	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $11.75	Professional		$8.13	$10.00	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $53.70 / $97.72	Facility		$20.42	$53.70	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.33 / $16.22	Professional		$5.01	$9.33	$16.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.98 / $26.92	Facility		$11.75	$16.98	$26.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $25.12	Professional		$11.75	$16.98	$25.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.44 / $23.44	Facility		$16.98	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $34.67 / $77.62	Facility		$15.14	$34.67	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.18	Professional		$8.91	$12.02	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $75.86	Facility		$12.88	$16.98	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $21.88	Professional		$10.00	$15.14	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $14.13	Professional		$12.59	$14.13	$14.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $48.98	Facility		$13.18	$16.98	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $28.18	Professional		$9.55	$12.30	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.00 / $16.98	Facility		$6.03	$10.00	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $20.89	Professional		$7.08	$10.00	$20.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $16.98	Professional		$6.61	$6.61	$16.98