Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $79.39 / $128.21	Facility		$14.22	$79.39	$128.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $15.40 / $20.30	Professional		$10.59	$15.40	$20.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $10.59 / $12.03	Professional		$8.47	$10.59	$12.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $57.73 / $104.66	Facility		$21.89	$57.73	$104.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.35 / $15.13	Professional		$5.00	$9.35	$15.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $27.36 / $112.85	Facility		$16.77	$27.36	$112.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.64 / $26.48	Professional		$13.24	$17.64	$26.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.64	Facility		$17.30	$17.30	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $38.31 / $87.26	Facility		$12.33	$38.31	$87.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.64 / $28.99	Professional		$9.35	$12.64	$28.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $96.00 / $96.00	Facility		$67.58	$96.00	$96.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.64 / $25.85	Facility		$14.12	$17.64	$25.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $17.64 / $22.57	Professional		$15.89	$17.64	$22.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.64 / $43.08	Facility		$14.12	$17.64	$43.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $13.32 / $24.81	Professional		$9.35	$13.32	$24.81
United Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $17.64 / $28.51	Facility		$10.42	$17.64	$28.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.92 / $14.60	Professional		$7.41	$9.92	$14.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.55 / $17.64	Professional		$6.88	$8.55	$17.64