Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $123.03	Facility		$16.98	$42.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $32.36	Professional		$15.14	$19.05	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $19.50	Professional		$10.96	$13.80	$19.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $138.04	Facility		$30.90	$77.62	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $21.88	Professional		$5.01	$12.59	$21.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $34.67 / $134.90	Facility		$20.89	$34.67	$134.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $36.31	Professional		$15.85	$23.44	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $22.91	Facility		$20.42	$20.42	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $120.23	Facility		$22.39	$50.12	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $38.02	Professional		$12.02	$16.60	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $56.23	Facility		$17.38	$22.91	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $29.51	Professional		$12.88	$20.42	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $19.05	Professional		$16.98	$19.05	$19.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $66.07	Facility		$18.20	$22.91	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $38.02	Professional		$12.88	$16.60	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.80 / $22.91	Facility		$8.13	$13.80	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.49 / $19.50	Professional		$9.55	$13.49	$19.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $22.91	Professional		$8.91	$8.91	$22.91