Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $110.28 / $202.83	Facility		$21.30	$110.28	$202.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $21.78 / $24.71	Professional		$14.26	$21.78	$24.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.28 / $19.51	Professional		$8.91	$15.28	$19.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $79.09 / $142.88	Facility		$28.02	$79.09	$142.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.01 / $18.85	Professional		$5.00	$14.01	$18.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $38.64 / $156.16	Facility		$23.53	$38.64	$156.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $25.34 / $40.75	Professional		$19.10	$25.34	$40.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $25.22 / $25.47	Facility		$25.22	$25.22	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $55.97 / $128.26	Facility		$17.80	$55.97	$128.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.59 / $43.22	Professional		$13.50	$18.59	$43.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $121.47 / $121.47	Facility		$72.41	$121.47	$121.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $37.31 / $42.39	Professional		$22.92	$37.31	$42.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $25.47 / $65.72	Facility		$20.38	$25.47	$65.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $25.47 / $42.28	Professional		$22.92	$25.47	$42.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $25.47 / $64.08	Facility		$20.12	$25.47	$64.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $19.57 / $36.79	Professional		$13.50	$19.57	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.57 / $21.07	Professional		$10.70	$14.57	$21.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.58 / $25.47	Professional		$9.93	$12.58	$25.47