Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $59.34 / $177.41	Facility		$5.74	$59.34	$177.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.12 / $6.22	Professional		$3.79	$5.12	$6.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.99 / $5.74	Professional		$2.00	$3.99	$5.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $18.37 / $34.38	Facility		$7.00	$18.37	$34.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.00 / $5.50	Professional		$3.16	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $8.32 / $40.28	Facility		$5.74	$8.32	$40.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.33 / $9.76	Professional		$4.30	$5.33	$9.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $5.63 / $5.74	Facility		$5.63	$5.63	$5.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $12.61 / $29.10	Facility		$4.01	$12.61	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $6.35 / $12.28	Professional		$3.04	$6.35	$12.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $5.74 / $9.24	Facility		$4.59	$5.74	$9.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.74 / $7.98	Professional		$5.17	$5.74	$7.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.74 / $14.34	Facility		$4.63	$5.74	$14.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.74 / $8.23	Professional		$3.04	$5.74	$8.23
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.29 / $4.75	Professional		$2.41	$3.29	$4.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $5.74	Professional		$2.84	$2.84	$5.74