Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $22.51 / $73.79	Facility		$4.16	$22.51	$73.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $4.07 / $6.60	Professional		$3.08	$4.07	$6.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $14.08 / $30.55	Facility		$5.00	$14.08	$30.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $5.00 / $5.50	Professional		$3.03	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $8.25 / $39.27	Facility		$3.85	$8.25	$39.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $6.33	Facility		$5.50	$5.50	$6.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $12.10 / $27.75	Facility		$4.41	$12.10	$27.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $6.61 / $55.24	Professional		$2.92	$6.61	$55.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.50 / $8.46	Facility		$4.40	$5.50	$8.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.50 / $5.99	Professional		$5.20	$5.50	$5.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $5.50 / $13.79	Facility		$4.41	$5.50	$13.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $6.25 / $55.24	Professional		$2.92	$6.25	$55.24
United Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $4.15 / $6.88	Facility		$1.93	$4.15	$6.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $33.00 / $33.00	Professional		$3.30	$33.00	$33.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.72 / $5.50	Professional		$2.15	$2.72	$5.50