Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $47.86 / $138.04	Facility		$19.05	$47.86	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $36.31	Professional		$15.85	$20.89	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $87.10 / $151.36	Facility		$33.88	$87.10	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.13 / $24.55	Professional		$5.01	$14.13	$24.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $40.74	Professional		$17.78	$26.30	$40.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $29.51	Facility		$25.70	$25.70	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $134.90	Facility		$25.12	$56.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $43.65	Professional		$13.49	$18.20	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.70 / $47.86	Facility		$19.50	$25.70	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $30.20	Professional		$15.14	$21.88	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $21.38	Professional		$19.05	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $74.13	Facility		$20.42	$25.70	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $43.65	Professional		$14.45	$18.62	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.14 / $25.70	Facility		$9.12	$15.14	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $21.88	Professional		$10.72	$14.79	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $25.70	Professional		$10.00	$10.00	$25.70