Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $55.11 / $160.94	Facility		$22.32	$55.11	$160.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $26.32 / $35.44	Professional		$17.72	$26.32	$35.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $20.51 / $20.51	Professional		$14.17	$20.51	$20.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $97.45 / $174.23	Facility		$36.61	$97.45	$174.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.65 / $26.28	Professional		$5.00	$15.65	$26.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $47.25 / $174.78	Facility		$29.53	$47.25	$174.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $29.53 / $44.30	Professional		$22.15	$29.53	$44.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $29.53 / $34.03	Facility		$29.53	$29.53	$34.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $64.86 / $149.40	Facility		$20.64	$64.86	$149.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.48 / $49.78	Professional		$15.65	$21.48	$49.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $142.00 / $198.00	Facility		$77.47	$142.00	$198.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $29.53 / $38.39	Facility		$23.62	$29.53	$38.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $29.53 / $38.47	Professional		$26.58	$29.53	$38.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $29.53 / $73.81	Facility		$23.62	$29.53	$73.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.71 / $42.67	Professional		$15.65	$22.71	$42.67
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.32 / $30.94	Professional		$12.40	$17.32	$30.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.58 / $29.53	Professional		$11.52	$14.58	$29.53