Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $57.53 / $103.69	Facility		$14.34	$57.53	$103.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $16.54 / $32.18	Professional		$11.76	$16.54	$32.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.38 / $13.18	Professional		$9.11	$11.38	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $62.60 / $111.92	Facility		$23.52	$62.60	$111.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.05 / $16.88	Professional		$5.00	$10.05	$16.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $29.40 / $106.51	Facility		$18.97	$29.40	$106.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $17.98 / $28.46	Professional		$13.28	$17.98	$28.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $18.97	Facility		$18.59	$18.59	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $41.68 / $96.53	Facility		$13.25	$41.68	$96.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $13.90 / $31.73	Professional		$10.05	$13.90	$31.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $90.81 / $100.00	Facility		$79.00	$90.81	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $18.97 / $28.23	Facility		$15.18	$18.97	$28.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $18.97 / $24.72	Professional		$17.07	$18.97	$24.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $18.97 / $47.72	Facility		$15.18	$18.97	$47.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.59 / $27.41	Professional		$10.05	$14.59	$27.41
United Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $18.97 / $31.22	Facility		$11.41	$18.97	$31.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.13 / $15.70	Professional		$7.97	$11.13	$15.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $9.36 / $18.97	Professional		$7.40	$9.36	$18.97