Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $55.70 / $154.52	Facility		$22.57	$55.70	$154.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $22.69 / $35.82	Professional		$16.72	$22.69	$35.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $20.73	Professional		$17.91	$17.91	$20.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $97.31 / $172.23	Facility		$36.85	$97.31	$172.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.82 / $26.57	Professional		$5.00	$15.82	$26.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $44.78 / $159.84	Facility		$29.85	$44.78	$159.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $29.85 / $32.81	Facility		$29.85	$29.85	$32.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $65.56 / $150.71	Facility		$20.86	$65.56	$150.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $21.84 / $50.33	Professional		$15.82	$21.84	$50.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $142.71 / $142.71	Facility		$56.22	$142.71	$142.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $29.85 / $38.81	Facility		$23.88	$29.85	$38.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $29.85 / $38.89	Professional		$26.87	$29.85	$38.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $29.85 / $70.95	Facility		$23.88	$29.85	$70.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $22.95 / $43.13	Professional		$15.82	$22.95	$43.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.10 / $24.37	Professional		$12.54	$17.10	$24.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.74 / $29.85	Professional		$11.64	$14.74	$29.85