Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $56.23	Facility		$18.20	$45.71	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $30.20 / $83.18	Professional		$8.71	$30.20	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $12.88 / $15.14	Professional		$5.13	$12.88	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $154.88	Facility		$33.11	$83.18	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.60 / $16.60	Professional		$5.01	$16.60	$16.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.67 / $74.13	Facility		$26.92	$44.67	$74.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $30.20 / $30.20	Facility		$13.80	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $48.98 / $134.90	Facility		$14.79	$48.98	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $43.65	Professional		$7.76	$10.00	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $31.62	Facility		$20.89	$26.92	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $30.20	Professional		$15.14	$30.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $25.12	Professional		$22.39	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.20 / $74.13	Facility		$16.60	$30.20	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $36.31	Professional		$7.76	$15.14	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.72 / $30.20	Facility		$8.32	$10.72	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.59 / $18.20	Professional		$6.92	$12.59	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $30.20	Professional		$11.75	$11.75	$30.20