Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $97.80 / $157.33	Facility		$16.62	$97.80	$157.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $19.03 / $25.29	Professional		$13.19	$19.03	$25.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $13.19 / $21.99	Professional		$7.70	$13.19	$21.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $72.56 / $131.50	Facility		$27.27	$72.56	$131.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.65 / $19.57	Professional		$5.00	$11.65	$19.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $32.64 / $186.80	Facility		$20.32	$32.64	$186.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.99 / $32.99	Professional		$16.48	$20.99	$32.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $23.09 / $23.09	Facility		$21.99	$23.09	$23.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $48.30 / $111.06	Facility		$15.36	$48.30	$111.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $16.07 / $37.20	Professional		$11.65	$16.07	$37.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $124.10 / $124.10	Facility		$97.60	$124.10	$124.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $21.99 / $32.61	Facility		$17.59	$21.99	$32.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $21.99 / $28.66	Professional		$19.79	$21.99	$28.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $21.99 / $55.15	Facility		$17.59	$21.99	$55.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $16.91 / $31.77	Professional		$11.65	$16.91	$31.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $12.70 / $23.05	Professional		$9.24	$12.70	$23.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $10.86 / $21.99	Professional		$8.58	$10.86	$21.99