Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $30.32 / $128.58	Facility		$4.97	$30.32	$128.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.82 / $4.73	Professional		$2.98	$3.82	$4.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.84 / $2.99	Professional		$2.27	$2.84	$2.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $15.33 / $28.29	Facility		$5.85	$15.33	$28.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $4.73 / $5.50	Professional		$2.50	$4.73	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.39 / $10.64	Facility		$4.26	$6.39	$10.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.73 / $7.10	Professional		$3.55	$4.73	$7.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $4.73 / $4.73	Facility		$4.73	$4.73	$4.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $9.58 / $21.15	Facility		$3.31	$9.58	$21.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.23 / $9.21	Professional		$2.50	$3.23	$9.21
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 $3.59 / $4.73 / $6.47	Facility		$3.59	$4.73	$6.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.73 / $7.13	Professional		$4.26	$4.73	$7.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $4.73 / $11.27	Facility		$3.59	$4.73	$11.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.35 / $6.16	Professional		$2.50	$3.35	$6.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.46 / $3.51	Professional		$1.99	$2.46	$3.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.13 / $4.73	Professional		$1.84	$2.13	$4.73