Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $43.53 / $122.13	Facility		$16.94	$43.53	$122.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $17.03 / $26.89	Professional		$12.55	$17.03	$26.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $69.47 / $120.97	Facility		$23.89	$69.47	$120.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.88 / $17.93	Professional		$5.00	$11.88	$17.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $47.89 / $47.89 / $73.03	Facility		$47.89	$47.89	$73.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $22.41 / $22.41	Facility		$12.00	$22.41	$22.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $44.47 / $99.66	Facility		$15.66	$44.47	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $14.31 / $34.08	Professional		$11.83	$14.31	$34.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $147.81 / $147.81	Facility		$116.25	$147.81	$147.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $22.41 / $27.56	Facility		$16.14	$22.41	$27.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $22.41 / $24.65	Professional		$20.17	$22.41	$24.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $22.41 / $52.08	Facility		$16.05	$22.41	$52.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.88 / $27.95	Professional		$11.88	$14.88	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.15 / $16.44	Professional		$9.41	$11.15	$16.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $9.56 / $22.41	Professional		$8.74	$9.56	$22.41