Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $63.92 / $110.73	Facility		$12.95	$63.92	$110.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $14.83 / $15.72	Professional		$10.27	$14.83	$15.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.89 / $17.12	Professional		$8.22	$11.89	$17.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $56.50 / $98.78	Facility		$21.40	$56.50	$98.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.07 / $16.44	Professional		$5.00	$9.07	$16.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $27.39 / $101.37	Facility		$17.12	$27.39	$101.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.12 / $25.68	Professional		$12.84	$17.12	$25.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $25.56 / $25.56	Facility		$17.12	$25.56	$25.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $37.61 / $85.94	Facility		$11.97	$37.61	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $12.46 / $28.99	Professional		$9.07	$12.46	$28.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $81.39 / $81.39	Facility		$55.00	$81.39	$81.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $17.12 / $25.45	Facility		$13.70	$17.12	$25.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $17.12 / $22.32	Professional		$15.41	$17.12	$22.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $17.12 / $42.70	Facility		$13.70	$17.12	$42.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $13.17 / $24.85	Professional		$9.07	$13.17	$24.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.80 / $13.99	Professional		$7.19	$9.80	$13.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.46 / $17.12	Professional		$6.68	$8.46	$17.12