Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $84.73 / $156.31	Facility		$18.28	$84.73	$156.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $21.49 / $26.60	Professional		$14.51	$21.49	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $16.79 / $16.79	Professional		$11.61	$16.79	$16.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $78.51 / $140.00	Facility		$29.98	$78.51	$140.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.82 / $21.76	Professional		$5.00	$12.82	$21.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $36.27 / $54.41	Facility		$24.18	$36.27	$54.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $22.99 / $36.27	Professional		$16.93	$22.99	$36.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $16.93 / $24.18	Facility		$16.93	$16.93	$24.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $53.13 / $121.65	Facility		$16.89	$53.13	$121.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $17.01 / $41.03	Professional		$12.82	$17.01	$41.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $115.59 / $115.59	Facility		$53.00	$115.59	$115.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $24.18 / $35.79	Facility		$19.34	$24.18	$35.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $24.18 / $31.51	Professional		$21.76	$24.18	$31.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $24.18 / $60.27	Facility		$19.34	$24.18	$60.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $18.62 / $34.94	Professional		$12.82	$18.62	$34.94
United Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $24.18 / $29.02	Facility		$14.19	$24.18	$29.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.19 / $20.01	Professional		$10.16	$14.19	$20.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $11.94 / $24.18	Professional		$9.43	$11.94	$24.18