Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $47.36 / $107.46	Facility		$5.78	$47.36	$107.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.72 / $4.80	Professional		$2.22	$3.72	$4.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.21 / $3.34	Professional		$2.31	$3.21	$3.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $15.34 / $28.14	Facility		$5.00	$15.34	$28.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.28 / $5.50	Professional		$2.65	$4.28	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $6.49 / $33.74	Facility		$4.80	$6.49	$33.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.67 / $7.70	Professional		$3.61	$4.67	$7.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Facility		$4.80	$4.80	$4.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.36 / $10.58 / $23.80	Facility		$3.36	$10.58	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.75 / $10.23	Professional		$2.54	$3.75	$10.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $7.09 / $8.05	Professional		$4.33	$7.09	$8.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $4.80 / $8.80	Facility		$3.85	$4.80	$8.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $4.80 / $6.60	Professional		$4.33	$4.80	$6.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $4.80 / $11.99	Facility		$3.87	$4.80	$11.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.03 / $6.96	Professional		$2.54	$4.03	$6.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.76 / $3.98	Professional		$2.02	$2.76	$3.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.38 / $4.80	Professional		$2.38	$2.38	$4.80