Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $86.43 / $220.03	Facility		$35.02	$86.43	$220.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $33.47 / $46.31	Professional		$27.79	$33.47	$46.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.79 / $46.31	Professional		$22.23	$27.79	$46.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $145.41 / $263.97	Facility		$50.94	$145.41	$263.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $24.54 / $41.22	Professional		$5.00	$24.54	$41.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $62.52 / $83.36	Facility		$45.81	$62.52	$83.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $46.18 / $64.83	Professional		$32.42	$46.18	$64.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $46.31 / $46.31	Facility		$39.11	$46.31	$46.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $78.39 / $197.67	Facility		$31.45	$78.39	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $25.20 / $70.73	Professional		$21.72	$25.20	$70.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $219.97 / $219.97	Facility		$80.58	$219.97	$219.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $46.31 / $55.22	Facility		$34.26	$46.31	$55.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $46.31 / $50.94	Professional		$39.36	$46.31	$50.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $46.31 / $110.26	Facility		$34.26	$46.31	$110.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $26.10 / $49.04	Professional		$21.72	$26.10	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $19.55 / $27.79	Professional		$19.42	$19.55	$27.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.52 / $46.31	Professional		$18.05	$18.52	$46.31