Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $34.86 / $96.70	Facility		$13.90	$34.86	$96.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $16.64 / $33.28	Professional		$11.21	$16.64	$33.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $11.21 / $11.21	Professional		$8.97	$11.21	$11.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $61.46 / $111.71	Facility		$23.16	$61.46	$111.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.90 / $16.63	Professional		$5.00	$9.90	$16.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $29.89 / $111.90	Facility		$18.68	$29.89	$111.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $16.80 / $29.89	Professional		$13.08	$16.80	$29.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $18.68	Facility		$18.30	$18.30	$18.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $41.03 / $93.87	Facility		$13.06	$41.03	$93.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.37 / $31.73	Professional		$9.90	$14.37	$31.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $89.64 / $155.00	Facility		$68.91	$89.64	$155.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $18.68 / $27.84	Facility		$14.94	$18.68	$27.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $18.68 / $24.35	Professional		$16.80	$18.68	$24.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $18.68 / $46.58	Facility		$14.96	$18.68	$46.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $15.67 / $26.78	Professional		$9.90	$15.67	$26.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $7.85 / $18.68	Facility		$6.72	$7.85	$18.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.71 / $18.68	Professional		$7.85	$10.71	$18.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $18.68	Professional		$9.23	$9.23	$18.68