Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $68.50 / $327.60	Facility		$16.85	$68.50	$327.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $16.41 / $32.50	Professional		$13.30	$16.41	$32.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $13.30 / $13.30	Professional		$7.40	$13.30	$13.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $70.64 / $120.37	Facility		$25.57	$70.64	$120.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.75 / $19.73	Professional		$5.00	$11.75	$19.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $35.47 / $117.88	Facility		$22.17	$35.47	$117.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $22.17 / $33.26	Professional		$15.52	$22.17	$33.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $20.84 / $22.17	Facility		$20.84	$20.84	$22.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $41.64 / $95.72	Facility		$14.85	$41.64	$95.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $12.75 / $33.92	Professional		$11.15	$12.75	$33.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $105.31 / $158.00	Facility		$55.00	$105.31	$158.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $22.17 / $27.27	Facility		$16.14	$22.17	$27.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.17 / $24.39	Professional		$19.95	$22.17	$24.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $22.17 / $51.28	Facility		$16.14	$22.17	$51.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.14 / $26.08	Professional		$11.33	$15.14	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $10.60 / $14.75	Professional		$9.31	$10.60	$14.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.92 / $22.17	Professional		$8.65	$8.92	$22.17