Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $98.62 / $282.13	Facility		$17.89	$98.62	$282.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.48 / $19.63	Professional		$11.78	$17.48	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.78 / $13.63	Professional		$9.42	$11.78	$13.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $63.01 / $117.58	Facility		$23.36	$63.01	$117.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.40 / $13.15	Professional		$5.00	$10.40	$13.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $29.45 / $210.00	Facility		$18.14	$29.45	$210.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $18.66 / $27.48	Professional		$13.74	$18.66	$27.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $19.23 / $19.63	Facility		$19.23	$19.23	$19.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $42.87 / $91.18	Facility		$13.72	$42.87	$91.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $14.19 / $33.36	Professional		$10.40	$14.19	$33.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.24 / $93.24	Facility		$80.00	$93.24	$93.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $19.63 / $23.87	Facility		$15.70	$19.63	$23.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $19.63 / $27.23	Professional		$17.67	$19.63	$27.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $19.63 / $49.48	Facility		$15.70	$19.63	$49.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $15.12 / $28.36	Professional		$10.40	$15.12	$28.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.23 / $16.03	Professional		$8.24	$11.23	$16.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.69 / $19.63	Professional		$7.66	$9.69	$19.63