Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $85.39 / $111.89	Facility		$20.28	$85.39	$111.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $13.38 / $22.22	Professional		$11.11	$13.38	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.11 / $11.58	Professional		$8.89	$11.11	$11.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $53.52 / $100.01	Facility		$20.00	$53.52	$100.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.82 / $18.52	Professional		$5.00	$9.82	$18.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $29.63 / $80.45	Facility		$18.52	$29.63	$80.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $17.66 / $27.78	Professional		$12.96	$17.66	$27.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $18.52	Facility		$18.14	$18.14	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $31.69 / $79.38	Facility		$12.95	$31.69	$79.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $10.45 / $28.40	Professional		$8.72	$10.45	$28.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $87.97 / $87.97	Facility		$80.00	$87.97	$87.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $20.35 / $30.59	Professional		$16.55	$20.35	$30.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $18.52 / $22.09	Facility		$13.48	$18.52	$22.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $18.52 / $20.65	Professional		$16.67	$18.52	$20.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $18.52 / $44.27	Facility		$13.48	$18.52	$44.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $12.96 / $19.64	Professional		$8.72	$12.96	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $7.98 / $11.11	Professional		$7.78	$7.98	$11.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.41 / $18.52	Professional		$7.22	$7.41	$18.52