Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $36.64 / $106.98	Facility		$14.84	$36.64	$106.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.48 / $19.63	Professional		$11.78	$17.48	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.63 / $13.63	Professional		$11.78	$13.63	$13.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $64.78 / $118.17	Facility		$24.34	$64.78	$118.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.40 / $17.47	Professional		$5.00	$10.40	$17.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $30.43 / $116.16	Facility		$19.63	$30.43	$116.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $19.44 / $29.45	Professional		$13.74	$19.44	$29.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Facility		$19.63	$19.63	$19.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $42.87 / $89.30	Facility		$13.72	$42.87	$89.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $14.26 / $33.36	Professional		$10.40	$14.26	$33.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.24 / $100.00	Facility		$80.00	$93.24	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $19.63 / $23.56	Facility		$15.70	$19.63	$23.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $19.63 / $24.31	Professional		$18.64	$19.63	$24.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $19.63 / $49.48	Facility		$15.70	$19.63	$49.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $15.12 / $28.36	Professional		$10.40	$15.12	$28.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.33 / $16.03	Professional		$8.24	$11.33	$16.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.69 / $19.63	Professional		$7.66	$9.69	$19.63