Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $97.57 / $190.95	Facility		$22.14	$97.57	$190.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $26.03 / $29.28	Professional		$17.57	$26.03	$29.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $17.57 / $17.57	Professional		$14.05	$17.57	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $96.33 / $168.95	Facility		$36.60	$96.33	$168.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.52 / $26.06	Professional		$5.00	$15.52	$26.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $45.38 / $179.56	Facility		$27.06	$45.38	$179.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $29.28 / $46.85	Professional		$21.96	$29.28	$46.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $34.84 / $34.84	Facility		$29.28	$34.84	$34.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $64.31 / $148.08	Facility		$20.46	$64.31	$148.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $21.30 / $49.24	Professional		$15.52	$21.30	$49.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $140.34 / $140.34	Facility		$99.02	$140.34	$140.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $29.28 / $43.66	Facility		$23.42	$29.28	$43.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $29.28 / $38.15	Professional		$26.35	$29.28	$38.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $29.28 / $72.95	Facility		$23.42	$29.28	$72.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $22.55 / $42.29	Professional		$15.52	$22.55	$42.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.77 / $24.88	Professional		$12.30	$16.77	$24.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.46 / $29.28	Professional		$11.42	$14.46	$29.28