Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $77.40 / $139.13	Facility		$19.30	$77.40	$139.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $22.24 / $39.50	Professional		$15.32	$22.24	$39.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.32 / $19.55	Professional		$12.25	$15.32	$19.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $81.70 / $144.76	Facility		$29.10	$81.70	$144.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.53 / $25.02	Professional		$5.00	$13.53	$25.02
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $39.57 / $143.30	Facility		$25.53	$39.57	$143.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $25.53 / $38.29	Professional		$19.14	$25.53	$38.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $29.42	Facility		$25.53	$25.53	$29.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $56.07 / $129.57	Facility		$17.84	$56.07	$129.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $18.59 / $43.22	Professional		$13.53	$18.59	$43.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $169.40 / $169.40	Facility		$133.22	$169.40	$169.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.53 / $38.00	Facility		$20.42	$25.53	$38.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $25.53 / $33.27	Professional		$22.98	$25.53	$33.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.53 / $63.61	Facility		$20.42	$25.53	$63.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $19.66 / $36.88	Professional		$13.53	$19.66	$36.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $25.53 / $42.02	Facility		$15.36	$25.53	$42.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.74 / $20.84	Professional		$10.72	$14.74	$20.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $12.61 / $25.53	Professional		$9.96	$12.61	$25.53