Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $104.71	Facility		$14.13	$36.31	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $22.91	Professional		$10.96	$15.14	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $60.26 / $104.71	Facility		$22.39	$60.26	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $18.62	Professional		$5.01	$10.72	$18.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $72.44	Facility		$46.77	$46.77	$72.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $29.51	Professional		$13.49	$19.50	$29.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $19.50	Facility		$11.48	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $87.10	Facility		$15.85	$36.31	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $30.20	Professional		$10.23	$12.02	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $323.59	Facility		$218.78	$218.78	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.50 / $36.31	Facility		$14.13	$19.50	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $21.88	Professional		$10.96	$16.60	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $16.60	Professional		$14.79	$16.60	$16.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.50 / $57.54	Facility		$13.80	$19.50	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $29.51	Professional		$10.00	$12.30	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.22 / $19.50	Facility		$7.08	$11.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $23.44	Professional		$8.32	$10.00	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $19.50	Professional		$7.59	$7.59	$19.50