Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $79.43 / $173.78	Facility		$21.88	$79.43	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $37.15	Professional		$19.05	$25.70	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $20.42	Professional		$14.13	$17.38	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $173.78	Facility		$38.90	$100.00	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.22 / $28.84	Professional		$5.01	$16.22	$28.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $169.82	Facility		$26.92	$45.71	$169.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $50.12	Professional		$20.42	$30.20	$50.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $34.67 / $34.67	Facility		$29.51	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $158.49	Facility		$28.84	$64.57	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $48.98	Professional		$15.49	$20.89	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $138.04	Facility		$22.39	$29.51	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $38.02	Professional		$16.98	$26.30	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $24.55	Professional		$21.88	$24.55	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $85.11	Facility		$23.44	$29.51	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $48.98	Professional		$16.60	$21.38	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.50 / $29.51	Facility		$10.47	$19.50	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $31.62	Professional		$12.30	$17.38	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $29.51	Professional		$11.48	$11.48	$29.51