Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $37.15 / $109.65	Facility		$14.45	$37.15	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $25.70	Professional		$12.02	$16.60	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $29.51	Professional		$9.12	$11.75	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $60.26 / $112.20	Facility		$20.89	$60.26	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.47 / $19.05	Professional		$5.01	$10.47	$19.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.18 / $114.82	Facility		$17.38	$28.18	$114.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $30.20	Professional		$13.18	$19.05	$30.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $41.69 / $102.33	Facility		$18.62	$41.69	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $31.62	Professional		$10.00	$13.49	$31.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $100.00	Facility		$91.20	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.05 / $81.28	Facility		$14.45	$19.05	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $28.18	Professional		$10.96	$16.98	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $15.85	Professional		$14.13	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.05 / $56.23	Facility		$15.14	$19.05	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $31.62	Professional		$10.72	$13.80	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.59 / $19.05	Facility		$6.76	$12.59	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $16.22	Professional		$7.94	$11.22	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41