Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $331.13	Facility		$47.86	$120.23	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $77.62	Professional		$39.81	$52.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $44.67	Professional		$38.90	$38.90	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $218.78 / $389.05	Facility		$85.11	$218.78	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $35.48 / $61.66	Professional		$5.01	$35.48	$61.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $102.33	Professional		$44.67	$64.57	$102.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $74.13	Facility		$64.57	$64.57	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $134.90 / $323.59	Facility		$64.57	$134.90	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $109.65	Professional		$33.88	$46.77	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $64.57 / $120.23	Facility		$48.98	$64.57	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $79.43	Professional		$38.02	$57.54	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $53.70	Professional		$32.36	$53.70	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $190.55	Facility		$51.29	$64.57	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $109.65	Professional		$36.31	$48.98	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.90 / $64.57	Facility		$23.44	$38.90	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $52.48	Professional		$26.92	$37.15	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $64.57	Professional		$25.12	$25.12	$64.57