Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $75.06 / $156.05	Facility		$5.46	$75.06	$156.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.13 / $4.80	Professional		$2.40	$3.13	$4.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $2.40	Professional		$1.92	$1.92	$2.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $9.88 / $21.25	Facility		$5.00	$9.88	$21.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $4.32 / $5.50	Professional		$2.12	$4.32	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.00 / $9.00	Facility		$3.80	$6.00	$9.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.60 / $5.60	Facility		$4.00	$5.60	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $7.99 / $18.10	Facility		$2.80	$7.99	$18.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.79 / $6.20	Professional		$2.12	$2.79	$6.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $80.00	Facility		$60.00	$60.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $4.00 / $5.66	Facility		$3.05	$4.00	$5.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.00 / $4.78	Professional		$3.67	$4.00	$4.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $4.00 / $9.66	Facility		$3.05	$4.00	$9.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.82 / $5.29	Professional		$2.12	$2.82	$5.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.10 / $3.15	Professional		$1.68	$2.10	$3.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $4.00	Professional		$1.81	$1.81	$4.00