Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $75.51 / $130.81	Facility		$15.30	$75.51	$130.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $17.64 / $19.63	Professional		$12.14	$17.64	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.14 / $14.06	Professional		$9.72	$12.14	$14.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $66.79 / $120.02	Facility		$25.30	$66.79	$120.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.73 / $18.01	Professional		$5.00	$10.73	$18.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $31.37 / $113.60	Facility		$20.23	$31.37	$113.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $19.32 / $30.36	Professional		$14.17	$19.32	$30.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $20.23	Facility		$20.04	$20.04	$20.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $44.48 / $101.79	Facility		$14.14	$44.48	$101.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $14.80 / $33.92	Professional		$10.73	$14.80	$33.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $96.72 / $109.00	Facility		$60.57	$96.72	$109.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $20.23 / $26.31	Facility		$16.19	$20.23	$26.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $20.23 / $26.37	Professional		$18.22	$20.23	$26.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $20.23 / $50.44	Facility		$16.19	$20.23	$50.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.58 / $29.23	Professional		$10.73	$15.58	$29.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $11.66 / $21.21	Professional		$8.50	$11.66	$21.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $9.99 / $20.23	Professional		$7.89	$9.99	$20.23