Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $69.20 / $129.10	Facility		$17.23	$69.20	$129.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $19.71 / $27.37	Professional		$12.77	$19.71	$27.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $13.69	Professional		$10.95	$10.95	$13.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $75.27 / $136.63	Facility		$28.28	$75.27	$136.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.09 / $20.30	Professional		$5.00	$12.09	$20.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $26.23 / $51.32	Facility		$22.81	$26.23	$51.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $22.81	Facility		$20.53	$20.53	$22.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $50.13 / $115.04	Facility		$15.93	$50.13	$115.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $16.61 / $38.29	Professional		$12.09	$16.61	$38.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $172.36 / $172.36	Facility		$135.56	$172.36	$172.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $22.81 / $29.65	Facility		$18.25	$22.81	$29.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.81 / $29.73	Professional		$21.70	$22.81	$29.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $22.81 / $56.13	Facility		$18.25	$22.81	$56.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $17.54 / $32.97	Professional		$12.09	$17.54	$32.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.05 / $18.63	Professional		$9.58	$13.05	$18.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.26 / $22.81	Professional		$8.90	$11.26	$22.81