Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $61.99 / $172.11	Facility		$26.28	$61.99	$172.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $30.03 / $42.40	Professional		$19.78	$30.03	$42.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $24.54	Professional		$21.20	$21.20	$24.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $109.88 / $200.32	Facility		$36.04	$109.88	$200.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.72 / $28.26	Professional		$5.00	$18.72	$28.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $33.65 / $49.46	Professional		$24.10	$33.65	$49.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $35.33 / $35.33	Facility		$16.07	$35.33	$35.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $77.59 / $164.12	Facility		$24.69	$77.59	$164.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $25.81 / $59.63	Professional		$18.72	$25.81	$59.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $196.00 / $214.00	Facility		$92.96	$196.00	$214.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $35.33 / $44.16	Facility		$26.50	$35.33	$44.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $35.33 / $46.05	Professional		$31.80	$35.33	$46.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $35.33 / $81.73	Facility		$26.85	$35.33	$81.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $27.17 / $51.05	Professional		$18.72	$27.17	$51.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $20.21 / $24.44	Professional		$14.84	$20.21	$24.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $17.45 / $35.33	Professional		$13.78	$17.45	$35.33