Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $160.09 / $266.26	Facility		$30.97	$160.09	$266.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $35.26 / $57.05	Professional		$24.45	$35.26	$57.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $24.45 / $28.30	Professional		$14.26	$24.45	$28.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $134.47 / $235.92	Facility		$50.53	$134.47	$235.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.60 / $36.27	Professional		$5.00	$21.60	$36.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $61.13 / $155.46	Facility		$36.68	$61.13	$155.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $40.61 / $61.13	Professional		$30.56	$40.61	$61.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $40.75	Facility		$40.75	$40.75	$40.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $89.54 / $206.24	Facility		$28.47	$89.54	$206.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $29.78 / $68.93	Professional		$21.60	$29.78	$68.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $194.61 / $194.61	Facility		$120.84	$194.61	$194.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $40.75 / $60.84	Facility		$32.60	$40.75	$60.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $40.75 / $53.11	Professional		$36.68	$40.75	$53.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $40.75 / $101.56	Facility		$32.60	$40.75	$101.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $31.38 / $58.38	Professional		$21.60	$31.38	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.35 / $36.75	Professional		$17.12	$23.35	$36.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $20.12 / $40.75	Professional		$15.89	$20.12	$40.75