Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $93.33 / $263.03	Facility		$35.48	$93.33	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $61.66	Professional		$33.11	$43.65	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $51.29	Professional		$19.95	$33.88	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $302.00	Facility		$66.07	$169.82	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $28.18 / $48.98	Professional		$5.01	$28.18	$48.98
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $93.33	Facility		$44.67	$69.18	$93.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $81.28	Professional		$36.31	$51.29	$81.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $52.48	Facility		$51.29	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $109.65 / $269.15	Facility		$46.77	$109.65	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $85.11	Professional		$28.84	$36.31	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $199.53	Facility		$38.90	$51.29	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $67.61	Professional		$30.90	$43.65	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $144.54	Facility		$39.81	$51.29	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $85.11	Professional		$28.84	$37.15	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $34.67 / $51.29	Facility		$18.62	$34.67	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $43.65	Professional		$21.38	$30.20	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $51.29	Professional		$19.95	$19.95	$51.29