Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $81.18 / $157.41	Facility		$20.26	$81.18	$157.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.29 / $32.15	Professional		$16.07	$23.29	$32.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $18.61 / $18.61	Professional		$12.86	$18.61	$18.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $88.31 / $158.86	Facility		$33.49	$88.31	$158.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.20 / $23.84	Professional		$5.00	$14.20	$23.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $42.86 / $160.38	Facility		$26.79	$42.86	$160.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $24.11 / $42.86	Professional		$18.75	$24.11	$42.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $29.01 / $29.01	Facility		$26.79	$29.01	$29.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $58.85 / $134.87	Facility		$18.72	$58.85	$134.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $19.50 / $45.41	Professional		$14.20	$19.50	$45.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $128.00 / $128.00	Facility		$60.50	$128.00	$128.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $26.79 / $36.00	Facility		$21.43	$26.79	$36.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $26.79 / $34.90	Professional		$24.11	$26.79	$34.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $26.79 / $67.31	Facility		$21.43	$26.79	$67.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $20.59 / $38.69	Professional		$14.20	$20.59	$38.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.33 / $22.76	Professional		$11.25	$15.33	$22.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $13.23 / $26.79	Professional		$10.45	$13.23	$26.79