Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $37.85 / $109.51	Facility		$15.34	$37.85	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.53 / $19.67	Professional		$12.17	$17.53	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.17 / $14.08	Professional		$12.17	$12.17	$14.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $66.92 / $122.09	Facility		$25.15	$66.92	$122.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.75 / $18.05	Professional		$5.00	$10.75	$18.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $19.32 / $30.42	Professional		$14.20	$19.32	$30.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $23.37	Facility		$20.28	$20.28	$23.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $44.55 / $103.14	Facility		$14.17	$44.55	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $14.80 / $34.47	Professional		$10.75	$14.80	$34.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $96.72 / $100.00	Facility		$86.00	$96.72	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.28 / $30.22	Facility		$16.22	$20.28	$30.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $20.28 / $26.43	Professional		$18.25	$20.28	$26.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.28 / $51.01	Facility		$16.22	$20.28	$51.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $15.62 / $29.30	Professional		$10.75	$15.62	$29.30
United Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $20.28 / $24.34	Facility		$11.90	$20.28	$24.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.60 / $16.55	Professional		$8.52	$11.60	$16.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.02 / $20.28	Professional		$7.91	$10.02	$20.28