Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $331.13	Facility		$47.86	$120.23	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $81.28	Professional		$38.90	$53.70	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $44.67	Professional		$30.90	$38.90	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $218.78 / $389.05	Facility		$85.11	$218.78	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $35.48 / $61.66	Professional		$5.01	$35.48	$61.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $120.23	Facility		$57.54	$87.10	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $102.33	Professional		$44.67	$64.57	$102.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $64.57	Facility		$40.74	$40.74	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $323.59	Facility		$57.54	$131.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $109.65	Professional		$33.88	$46.77	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $128.82	Facility		$48.98	$64.57	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $81.28	Professional		$38.02	$56.23	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $53.70	Professional		$47.86	$53.70	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $190.55	Facility		$51.29	$64.57	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $109.65	Professional		$36.31	$46.77	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.90 / $64.57	Facility		$23.44	$38.90	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $52.48	Professional		$26.92	$38.02	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $64.57	Professional		$25.12	$25.12	$64.57