Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $54.55 / $168.81	Facility		$10.73	$54.55	$168.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.28 / $25.44	Professional		$8.75	$12.28	$25.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $46.74 / $85.00	Facility		$17.64	$46.74	$85.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.48 / $12.57	Professional		$5.00	$7.48	$12.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $22.59 / $125.99	Facility		$13.05	$22.59	$125.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $14.12 / $21.18	Professional		$11.30	$14.12	$21.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.30 / $17.30	Facility		$14.12	$17.30	$17.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $31.03 / $71.41	Facility		$9.86	$31.03	$71.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.00 / $24.07	Professional		$7.48	$10.00	$24.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $67.23 / $205.00	Facility		$53.00	$67.23	$205.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $14.12 / $21.02	Facility		$11.30	$14.12	$21.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $14.12 / $18.39	Professional		$12.71	$14.12	$18.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $14.12 / $35.53	Facility		$11.30	$14.12	$35.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.86 / $20.23	Professional		$7.48	$10.86	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $8.08 / $11.53	Professional		$5.93	$8.08	$11.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.97 / $14.12	Professional		$5.51	$6.97	$14.12