Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $77.94 / $216.22	Facility		$31.08	$77.94	$216.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $30.07 / $45.28	Professional		$22.25	$30.07	$45.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $25.06	Professional		$20.05	$20.05	$25.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $124.78 / $228.48	Facility		$45.95	$124.78	$228.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.14 / $37.59	Professional		$5.00	$22.14	$37.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $114.69 / $174.90	Facility		$114.69	$114.69	$174.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $39.99 / $62.10	Professional		$25.06	$39.99	$62.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $41.77 / $41.77	Facility		$28.75	$41.77	$41.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $68.95 / $184.50	Facility		$27.97	$68.95	$184.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $21.35 / $63.50	Professional		$16.68	$21.35	$63.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.01 / $198.41 / $275.00	Facility		$82.01	$198.41	$275.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $41.77 / $46.70	Facility		$30.42	$41.77	$46.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $41.77 / $41.77	Professional		$35.50	$41.77	$41.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $41.77 / $96.19	Facility		$29.24	$41.77	$96.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $21.35 / $41.77	Professional		$16.68	$21.35	$41.77
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $17.54 / $25.06	Professional		$14.38	$17.54	$25.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.71 / $41.77	Professional		$16.29	$16.71	$41.77