Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $40.99 / $119.68	Facility		$16.60	$40.99	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.92 / $59.76	Professional		$13.18	$19.92	$59.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.18 / $13.18	Professional		$10.54	$13.18	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $72.47 / $127.16	Facility		$27.23	$72.47	$127.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.64 / $19.54	Professional		$5.00	$11.64	$19.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $33.64 / $90.09	Facility		$19.76	$33.64	$90.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $21.87 / $32.94	Professional		$15.37	$21.87	$32.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $21.96 / $21.96	Facility		$21.96	$21.96	$21.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $48.23 / $111.06	Facility		$15.34	$48.23	$111.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $18.41 / $37.20	Professional		$12.52	$18.41	$37.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $104.97 / $122.00	Facility		$73.23	$104.97	$122.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $21.96 / $28.55	Facility		$17.57	$21.96	$28.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $21.96 / $28.62	Professional		$19.76	$21.96	$28.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $21.96 / $55.15	Facility		$17.57	$21.96	$55.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $21.70 / $36.22	Professional		$12.52	$21.70	$36.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $12.58 / $17.93	Professional		$9.22	$12.58	$17.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $10.85 / $21.96	Professional		$8.56	$10.85	$21.96