Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $80.50 / $204.88	Facility		$14.70	$80.50	$204.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.67 / $29.52	Professional		$10.50	$14.67	$29.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $10.16 / $16.94	Professional		$5.93	$10.16	$16.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $55.90 / $101.47	Facility		$21.01	$55.90	$101.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.98 / $15.08	Professional		$5.00	$8.98	$15.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $24.86 / $122.56	Facility		$15.25	$24.86	$122.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.94 / $25.41	Professional		$12.71	$16.94	$25.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $17.79 / $17.79	Facility		$16.94	$17.79	$17.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $37.21 / $85.94	Facility		$11.83	$37.21	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $12.46 / $28.45	Professional		$8.98	$12.46	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $83.93 / $100.00	Facility		$75.00	$83.93	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $16.94 / $25.07	Facility		$13.55	$16.94	$25.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $16.94 / $22.08	Professional		$15.25	$16.94	$22.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $16.94 / $42.21	Facility		$13.55	$16.94	$42.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $13.02 / $24.27	Professional		$8.98	$13.02	$24.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.69 / $13.83	Professional		$7.11	$9.69	$13.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.36 / $16.94	Professional		$6.61	$8.36	$16.94