Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $77.53 / $210.31	Facility		$32.75	$77.53	$210.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $30.98 / $48.09	Professional		$22.13	$30.98	$48.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $27.66	Professional		$26.55	$26.55	$27.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $123.46 / $231.87	Facility		$45.13	$123.46	$231.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.45 / $39.38	Professional		$5.00	$23.45	$39.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $66.38 / $130.16	Facility		$44.25	$66.38	$130.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $44.09 / $61.95	Professional		$30.98	$44.09	$61.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $44.25 / $44.25	Facility		$44.25	$44.25	$44.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $88.01 / $189.02	Facility		$13.06	$88.01	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $23.45 / $67.29	Professional		$8.86	$23.45	$67.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $210.19 / $210.19	Facility		$70.80	$210.19	$210.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $44.25 / $48.68	Facility		$30.98	$44.25	$48.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $44.25 / $44.25	Professional		$37.61	$44.25	$44.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $44.25 / $105.43	Facility		$26.55	$44.25	$105.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $23.45 / $44.25	Professional		$8.86	$23.45	$44.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.59 / $26.55	Professional		$7.48	$18.59	$26.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $17.70 / $44.25	Professional		$17.26	$17.70	$44.25