Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $31.35 / $93.18	Facility		$12.43	$31.35	$93.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $14.25 / $16.80	Professional		$10.08	$14.25	$16.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $10.08	Professional		$10.08	$10.08	$10.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $55.61 / $99.62	Facility		$21.00	$55.61	$99.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.90 / $14.67	Professional		$5.00	$8.90	$14.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $26.88 / $100.63	Facility		$16.80	$26.88	$100.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $16.80	Facility		$13.44	$13.44	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $36.90 / $84.63	Facility		$11.74	$36.90	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.27 / $28.45	Professional		$8.90	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $106.93 / $106.93	Facility		$84.09	$106.93	$106.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $16.80 / $21.84	Facility		$13.44	$16.80	$21.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $16.80 / $21.90	Professional		$15.12	$16.80	$21.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $16.80 / $42.18	Facility		$13.44	$16.80	$42.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.94 / $24.28	Professional		$8.90	$12.94	$24.28
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.69 / $13.72	Professional		$7.06	$9.69	$13.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.30 / $16.80	Professional		$6.55	$8.30	$16.80