Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $54.95 / $169.82	Facility		$12.59	$54.95	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $21.38	Professional		$8.91	$12.59	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $14.45	Professional		$7.08	$8.71	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $40.74 / $77.62	Facility		$14.45	$40.74	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $11.75	Professional		$5.01	$7.94	$11.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $77.62	Facility		$13.18	$22.39	$77.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $22.91	Professional		$10.23	$14.45	$22.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.05 / $19.05	Facility		$14.45	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $31.62 / $77.62	Facility		$14.13	$31.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $24.55	Professional		$7.76	$10.47	$24.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $125.89	Facility		$10.96	$15.14	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $21.88	Professional		$7.94	$12.88	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $12.30	Professional		$10.96	$12.30	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.45 / $42.66	Facility		$11.48	$14.45	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $23.99	Professional		$8.32	$11.22	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.71 / $14.45	Facility		$5.13	$8.71	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $12.02	Professional		$6.17	$8.51	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $14.45	Professional		$5.75	$5.75	$14.45