Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $49.73 / $137.90	Facility		$19.82	$49.73	$137.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $20.92 / $28.78	Professional		$14.92	$20.92	$28.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.79 / $15.99	Professional		$12.79	$12.79	$15.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $85.81 / $149.51	Facility		$33.04	$85.81	$149.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.12 / $23.72	Professional		$5.00	$14.12	$23.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.65 / $39.97	Professional		$19.98	$26.65	$39.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $28.34	Facility		$26.65	$26.65	$28.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $54.27 / $124.28	Facility		$18.63	$54.27	$124.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $18.35 / $41.58	Professional		$14.12	$18.35	$41.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $126.59 / $126.59	Facility		$55.00	$126.59	$126.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $26.65 / $36.58	Facility		$20.41	$26.65	$36.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $26.65 / $32.04	Professional		$25.07	$26.65	$32.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $26.65 / $63.58	Facility		$20.41	$26.65	$63.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $19.13 / $35.53	Professional		$14.12	$19.13	$35.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.09 / $20.07	Professional		$11.19	$14.09	$20.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $12.15 / $26.65	Professional		$10.39	$12.15	$26.65