Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $141.25	Facility		$19.95	$50.12	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $30.90	Professional		$15.85	$20.89	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $22.91	Professional		$12.88	$16.22	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $141.25	Facility		$28.84	$75.86	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.79 / $26.92	Professional		$5.01	$14.79	$26.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.81 / $109.65	Facility		$23.99	$39.81	$109.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $42.66	Professional		$18.62	$26.92	$42.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $37.15	Facility		$26.92	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $47.86 / $120.23	Facility		$19.95	$47.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $40.74	Professional		$11.48	$13.49	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $89.13	Facility		$18.62	$26.92	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $32.36	Professional		$15.85	$20.89	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $22.39	Professional		$19.95	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.92 / $74.13	Facility		$19.05	$26.92	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $37.15	Professional		$11.48	$13.49	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.30 / $26.92	Facility		$9.55	$12.30	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $19.05	Professional		$10.23	$11.22	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $26.92	Professional		$10.47	$10.47	$26.92