Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $47.77 / $199.53	Facility		$17.36	$47.77	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $16.95 / $22.97	Professional		$12.39	$16.95	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.78 / $14.36	Professional		$11.03	$13.78	$14.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $70.75 / $122.78	Facility		$25.96	$70.75	$122.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.17 / $22.51	Professional		$5.00	$12.17	$22.51
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $26.42 / $189.00	Facility		$22.97	$26.42	$189.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $18.38 / $36.75	Professional		$16.07	$18.38	$36.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $33.59 / $102.66	Facility		$14.80	$33.59	$102.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.91 / $43.77	Professional		$9.35	$12.91	$43.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $109.11 / $109.11	Facility		$36.75	$109.11	$109.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $22.97 / $25.27	Facility		$12.86	$22.97	$25.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $22.97 / $31.67	Professional		$19.52	$22.97	$31.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $22.97 / $31.93	Facility		$12.58	$22.97	$31.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $21.82 / $24.23	Professional		$11.73	$21.82	$24.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $14.93	Professional		$9.65	$9.65	$14.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $9.19 / $22.97	Professional		$8.96	$9.19	$22.97