Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $33.81 / $226.95	Facility		$6.23	$33.81	$226.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.23 / $9.63	Professional		$4.59	$6.23	$9.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $25.01 / $45.92	Facility		$8.19	$25.01	$45.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.00 / $5.50	Professional		$4.51	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $13.03 / $18.45	Facility		$8.19	$13.03	$18.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $8.19	Facility		$8.03	$8.03	$8.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $16.30 / $36.25	Facility		$5.73	$16.30	$36.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.44 / $12.58	Professional		$4.34	$5.44	$12.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $8.19 / $10.25	Facility		$6.08	$8.19	$10.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $8.19 / $9.07	Professional		$7.38	$8.19	$9.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $8.19 / $19.23	Facility		$6.08	$8.19	$19.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.64 / $10.50	Professional		$4.34	$5.64	$10.50
United Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $8.19 / $12.06	Facility		$4.41	$8.19	$12.06
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.30 / $6.78	Professional		$3.44	$4.30	$6.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.62 / $8.19	Professional		$3.20	$3.62	$8.19