Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $22.78 / $127.55	Facility		$4.23	$22.78	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.23 / $5.56	Professional		$3.45	$4.23	$5.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.34 / $3.34	Professional		$3.34	$3.34	$3.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $15.90 / $31.19	Facility		$5.00	$15.90	$31.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.00 / $5.50	Professional		$2.95	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $8.34 / $9.73	Facility		$5.56	$8.34	$9.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $5.55 / $8.34	Professional		$3.95	$5.55	$8.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Facility		$5.56	$5.56	$5.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $11.05 / $24.15	Facility		$3.89	$11.05	$24.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.63 / $8.26	Professional		$2.84	$3.63	$8.26
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 $4.23 / $5.56 / $7.16	Facility		$4.23	$5.56	$7.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.56 / $6.58	Professional		$5.00	$5.56	$6.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $5.56 / $12.88	Facility		$4.23	$5.56	$12.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.65 / $6.80	Professional		$2.95	$3.65	$6.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.79 / $4.08	Professional		$2.34	$2.79	$4.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.34 / $5.56	Professional		$2.17	$2.34	$5.56