Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $120.20 / $320.36	Facility		$48.70	$120.20	$320.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $48.95 / $64.41	Professional		$34.14	$48.95	$64.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $38.65 / $44.73	Professional		$30.92	$38.65	$44.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.87 / $212.55 / $387.75	Facility		$79.87	$212.55	$387.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $34.14 / $56.24	Professional		$5.00	$34.14	$56.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $96.62 / $144.91	Facility		$64.41	$96.62	$144.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $64.23 / $96.62	Professional		$45.09	$64.23	$96.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $40.58 / $64.41	Facility		$40.58	$40.58	$64.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $140.68 / $295.05	Facility		$45.01	$140.68	$295.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $47.11 / $108.87	Professional		$34.14	$47.11	$108.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $307.83 / $307.83	Facility		$134.72	$307.83	$307.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $64.41 / $77.29	Facility		$51.53	$64.41	$77.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $64.41 / $83.94	Professional		$57.97	$64.41	$83.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $64.41 / $161.41	Facility		$51.53	$64.41	$161.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $47.78 / $92.27	Professional		$34.14	$47.78	$92.27
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $37.11 / $52.59	Professional		$27.05	$37.11	$52.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.81 / $64.41	Professional		$25.12	$31.81	$64.41