Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $158.49	Facility		$21.88	$54.95	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $35.48	Professional		$19.05	$25.12	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $20.42	Professional		$14.13	$14.13	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $100.00 / $177.83	Facility		$39.81	$100.00	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.22 / $28.18	Professional		$5.01	$16.22	$28.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $46.77	Professional		$20.89	$30.20	$46.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $33.88	Facility		$29.51	$29.51	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $154.88	Facility		$28.84	$64.57	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $50.12	Professional		$15.49	$21.38	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $199.53	Facility		$141.25	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $58.88	Facility		$22.39	$29.51	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $38.90	Professional		$16.98	$26.30	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $24.55	Professional		$22.39	$24.55	$24.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $87.10	Facility		$23.44	$29.51	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $50.12	Professional		$16.60	$21.38	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $19.95 / $29.51	Facility		$10.72	$19.95	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $35.48	Professional		$12.30	$17.38	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $29.51	Professional		$11.48	$11.48	$29.51