Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $57.81 / $168.84	Facility		$23.42	$57.81	$168.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $26.61 / $37.18	Professional		$18.59	$26.61	$37.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $18.59 / $21.52	Professional		$14.87	$18.59	$21.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $98.83 / $175.04	Facility		$34.08	$98.83	$175.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.42 / $27.06	Professional		$5.00	$16.42	$27.06
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $29.66 / $46.47	Professional		$23.24	$29.66	$46.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $30.67 / $30.98	Facility		$30.67	$30.67	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $68.06 / $156.01	Facility		$21.65	$68.06	$156.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $22.56 / $52.52	Professional		$16.42	$22.56	$52.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $198.00 / $217.00	Facility		$118.10	$198.00	$217.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $30.98 / $42.00	Facility		$23.24	$30.98	$42.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $30.98 / $40.38	Professional		$27.88	$30.98	$40.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $30.98 / $73.23	Facility		$23.54	$30.98	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $23.82 / $44.37	Professional		$16.42	$23.82	$44.37
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $17.75 / $30.98	Professional		$13.01	$17.75	$30.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $15.30 / $30.98	Professional		$12.08	$15.30	$30.98