Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $57.65 / $91.87	Facility		$12.10	$57.65	$91.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $14.17 / $27.64	Professional		$10.08	$14.17	$27.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $9.75 / $11.29	Professional		$7.80	$9.75	$11.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $52.78 / $93.82	Facility		$19.02	$52.78	$93.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.61 / $14.19	Professional		$5.00	$8.61	$14.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $26.02 / $76.81	Facility		$16.26	$26.02	$76.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.66 / $24.39	Professional		$11.38	$15.66	$24.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $16.26	Facility		$15.93	$15.93	$16.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $35.72 / $81.96	Facility		$11.36	$35.72	$81.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.91 / $27.35	Professional		$8.61	$11.91	$27.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $77.84 / $100.00	Facility		$50.00	$77.84	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $16.26 / $22.30	Facility		$13.01	$16.26	$22.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $16.26 / $21.19	Professional		$14.63	$16.26	$21.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $16.26 / $38.63	Facility		$13.01	$16.26	$38.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.52 / $23.49	Professional		$8.61	$12.52	$23.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.36 / $15.75	Professional		$6.83	$9.36	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $8.02 / $16.26	Professional		$6.34	$8.02	$16.26