Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $66.07 / $107.15	Facility		$12.88	$66.07	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $19.95	Professional		$10.72	$14.13	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $16.98	Professional		$8.51	$10.23	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $100.00	Facility		$23.44	$58.88	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.33 / $16.98	Professional		$5.01	$9.33	$16.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $104.71	Facility		$15.85	$25.70	$104.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $27.54	Professional		$12.02	$17.38	$27.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $25.70	Facility		$16.98	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $93.33	Facility		$16.60	$37.15	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $28.84	Professional		$9.12	$12.30	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $83.18	Facility		$12.88	$16.98	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $22.39	Professional		$10.00	$15.14	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $14.45	Professional		$12.88	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.98 / $50.12	Facility		$13.80	$16.98	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $28.84	Professional		$9.77	$12.59	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.23 / $16.98	Facility		$6.17	$10.23	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $14.13	Professional		$7.24	$10.00	$14.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $16.98	Professional		$6.61	$6.61	$16.98