Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.92 / $89.13	Facility		$10.96	$26.92	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $16.98	Professional		$7.94	$10.96	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.71	Professional		$6.92	$6.92	$8.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $45.71 / $77.62	Facility		$17.78	$45.71	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $14.45	Professional		$5.01	$7.94	$14.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.45 / $22.91	Facility		$10.23	$14.45	$22.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $22.91	Professional		$9.55	$14.45	$22.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $14.45	Facility		$12.59	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.30 / $64.57	Facility		$11.75	$26.30	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.76 / $22.39	Professional		$6.76	$7.76	$22.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $100.00	Facility		$69.18	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $26.92	Facility		$10.47	$14.45	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $16.98	Professional		$7.94	$12.30	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $12.02	Professional		$10.96	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $40.74	Facility		$10.47	$14.45	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.94 / $21.88	Professional		$6.92	$7.94	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $14.45	Facility		$5.25	$7.94	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.31 / $10.72	Professional		$6.03	$6.31	$10.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62