Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $48.90 / $144.58	Facility		$20.12	$48.90	$144.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $24.10 / $29.06	Professional		$16.76	$24.10	$29.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $87.17 / $155.35	Facility		$31.29	$87.17	$155.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.81 / $27.38	Professional		$5.00	$14.81	$27.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $27.94 / $127.10	Facility		$25.82	$27.94	$127.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $26.66 / $39.11	Professional		$19.55	$26.66	$39.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $29.17 / $29.17	Facility		$27.94	$29.17	$29.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $45.40 / $123.82	Facility		$17.69	$45.40	$123.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $21.03 / $42.34	Professional		$13.60	$21.03	$42.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $132.72 / $132.72	Facility		$50.67	$132.72	$132.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $27.94 / $30.73	Facility		$20.96	$27.94	$30.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $27.94 / $36.40	Professional		$25.15	$27.94	$36.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $27.94 / $40.15	Facility		$19.55	$27.94	$40.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $22.32 / $35.49	Professional		$13.60	$22.32	$35.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $23.12	Professional		$11.73	$11.73	$23.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $11.18 / $27.94	Professional		$10.90	$11.18	$27.94