Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $112.65 / $254.93	Facility		$14.78	$112.65	$254.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $10.72 / $14.17	Professional		$7.39	$10.72	$14.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $8.56	Professional		$7.39	$7.39	$8.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $40.29 / $73.06	Facility		$15.40	$40.29	$73.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.53 / $10.96	Professional		$5.00	$6.53	$10.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $19.71 / $75.59	Facility		$12.32	$19.71	$75.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $25.11 / $25.11	Facility		$12.32	$25.11	$25.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $27.07 / $62.14	Facility		$8.61	$27.07	$62.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.02 / $20.79	Professional		$6.53	$9.02	$20.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $12.32 / $18.29	Facility		$9.86	$12.32	$18.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $12.32 / $16.05	Professional		$11.62	$12.32	$16.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $12.32 / $30.82	Facility		$9.86	$12.32	$30.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.49 / $17.80	Professional		$6.53	$9.49	$17.80
United Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $12.32 / $20.28	Facility		$7.42	$12.32	$20.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.05 / $10.19	Professional		$5.17	$7.05	$10.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.08 / $12.32	Professional		$4.80	$6.08	$12.32