Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $71.30 / $224.94	Facility		$12.70	$71.30	$224.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.93 / $29.06	Professional		$10.02	$14.93	$29.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.02 / $11.61	Professional		$8.02	$10.02	$11.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $53.47 / $97.99	Facility		$19.55	$53.47	$97.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.86 / $11.90	Professional		$5.00	$8.86	$11.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $25.90 / $100.07	Facility		$16.71	$25.90	$100.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $16.66 / $25.07	Professional		$12.53	$16.66	$25.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $16.71	Facility		$16.71	$16.71	$16.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $36.71 / $84.63	Facility		$11.68	$36.71	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.27 / $28.45	Professional		$8.86	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $97.56 / $97.56	Facility		$76.73	$97.56	$97.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $16.71 / $25.05	Facility		$13.37	$16.71	$25.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $16.71 / $21.77	Professional		$15.04	$16.71	$21.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $16.71 / $42.03	Facility		$13.37	$16.71	$42.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.87 / $24.14	Professional		$8.86	$12.87	$24.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.58 / $13.64	Professional		$7.02	$9.58	$13.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $8.25 / $16.71	Professional		$6.52	$8.25	$16.71