Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $9.08 / $26.49	Facility		$3.67	$9.08	$26.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.69 / $5.83	Professional		$2.72	$3.69	$5.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Professional		$2.33	$2.33	$2.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.04 / $29.26	Facility		$6.03	$16.04	$29.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.86 / $5.50	Professional		$2.58	$4.86	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $5.59 / $10.94	Facility		$4.86	$5.59	$10.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $5.60	Facility		$4.86	$4.86	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $10.62 / $22.61	Facility		$3.40	$10.62	$22.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.61 / $8.21	Professional		$2.58	$3.61	$8.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.86 / $6.11	Facility		$3.89	$4.86	$6.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.86 / $6.03	Professional		$4.59	$4.86	$6.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.86 / $12.11	Facility		$3.89	$4.86	$12.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.74 / $7.03	Professional		$2.58	$3.74	$7.03
United Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $4.86 / $5.83	Facility		$2.85	$4.86	$5.83
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.78 / $4.01	Professional		$2.04	$2.78	$4.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.40 / $4.86	Professional		$1.90	$2.40	$4.86