Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $58.80 / $234.66	Facility		$19.19	$58.80	$234.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $21.69 / $30.30	Professional		$15.15	$21.69	$30.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $15.15 / $17.54	Professional		$12.12	$15.15	$17.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $83.32 / $151.00	Facility		$31.31	$83.32	$151.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.38 / $22.47	Professional		$5.00	$13.38	$22.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $41.66 / $151.19	Facility		$25.25	$41.66	$151.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $25.25 / $37.88	Professional		$18.94	$25.25	$37.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $26.51 / $26.51	Facility		$25.25	$26.51	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $55.47 / $128.26	Facility		$17.64	$55.47	$128.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $18.41 / $42.67	Professional		$13.38	$18.41	$42.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $120.30 / $120.30	Facility		$76.06	$120.30	$120.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $25.25 / $37.38	Facility		$20.20	$25.25	$37.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $25.25 / $32.90	Professional		$22.73	$25.25	$32.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $25.25 / $63.26	Facility		$20.20	$25.25	$63.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $19.44 / $36.47	Professional		$13.38	$19.44	$36.47
United Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $25.25 / $41.57	Facility		$15.19	$25.25	$41.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.45 / $21.71	Professional		$10.61	$14.45	$21.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.47 / $25.25	Professional		$9.85	$12.47	$25.25