Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $124.06 / $321.89	Facility		$25.81	$124.06	$321.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.94 / $31.87	Professional		$15.49	$21.94	$31.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $15.49 / $25.81	Professional		$6.97	$15.49	$25.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $81.04 / $148.91	Facility		$28.39	$81.04	$148.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.68 / $18.07	Professional		$5.00	$13.68	$18.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $38.72 / $180.93	Facility		$23.85	$38.72	$180.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.81 / $43.88	Professional		$20.65	$25.81	$43.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $25.81	Facility		$25.55	$25.55	$25.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $56.72 / $130.88	Facility		$18.04	$56.72	$130.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $21.65 / $45.20	Professional		$14.54	$21.65	$45.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $123.84 / $123.84	Facility		$70.11	$123.84	$123.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $33.67 / $46.02	Professional		$23.01	$33.67	$46.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $25.81 / $150.30	Facility		$20.65	$25.81	$150.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $25.81 / $46.82	Professional		$23.23	$25.81	$46.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $25.81 / $64.89	Facility		$20.51	$25.81	$64.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $25.32 / $43.07	Professional		$13.68	$25.32	$43.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.77 / $21.36	Professional		$10.84	$14.77	$21.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.75 / $25.81	Professional		$10.07	$12.75	$25.81