Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $18.98 / $69.78	Facility		$3.85	$18.98	$69.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.54 / $5.09	Professional		$3.06	$4.54	$5.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $3.06 / $3.54	Professional		$1.79	$3.06	$3.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $16.32 / $30.55	Facility		$6.07	$16.32	$30.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $5.00 / $5.50	Professional		$2.70	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $7.91 / $28.59	Facility		$5.09	$7.91	$28.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.09 / $7.65	Professional		$3.83	$5.09	$7.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.09	Facility		$5.00	$5.00	$5.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $11.17 / $25.12	Facility		$3.56	$11.17	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.79 / $8.75	Professional		$2.70	$3.79	$8.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $5.09 / $7.56	Facility		$4.08	$5.09	$7.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.09 / $5.76	Professional		$4.59	$5.09	$5.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $5.09 / $12.80	Facility		$4.08	$5.09	$12.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.93 / $6.41	Professional		$2.70	$3.93	$6.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.91 / $4.16	Professional		$2.14	$2.91	$4.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.52 / $5.09	Professional		$1.99	$2.52	$5.09