Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $128.82	Facility		$15.85	$40.74	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $28.84	Professional		$14.13	$18.20	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.49	Professional		$10.47	$13.18	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $74.13 / $128.82	Facility		$29.51	$74.13	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.02 / $21.38	Professional		$5.01	$12.02	$21.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $134.90	Facility		$20.42	$33.11	$134.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $35.48	Professional		$15.49	$22.39	$35.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $47.86 / $117.49	Facility		$21.38	$47.86	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $38.02	Professional		$12.59	$21.88	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $123.03	Facility		$104.71	$123.03	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $114.82	Facility		$16.60	$21.88	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $28.84	Professional		$12.88	$19.95	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $18.62	Professional		$16.60	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.88 / $64.57	Facility		$17.38	$21.88	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $38.02	Professional		$12.59	$19.95	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $13.18 / $21.88	Facility		$7.94	$13.18	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $19.05	Professional		$9.12	$12.88	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $21.88	Professional		$8.51	$8.51	$21.88