Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $64.03 / $184.97	Facility		$25.66	$64.03	$184.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $28.85 / $39.03	Professional		$20.36	$28.85	$39.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Professional		$16.29	$16.29	$16.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $112.00 / $202.96	Facility		$42.09	$112.00	$202.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.98 / $30.55	Professional		$5.00	$17.98	$30.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $52.61 / $190.54	Facility		$33.94	$52.61	$190.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $33.26 / $33.94	Facility		$33.26	$33.26	$33.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $74.56 / $171.89	Facility		$23.72	$74.56	$171.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.73 / $57.44	Professional		$17.98	$24.73	$57.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.25 / $175.00 / $175.00	Facility		$64.25	$175.00	$175.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $33.94 / $44.12	Facility		$27.15	$33.94	$44.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $33.94 / $44.23	Professional		$32.10	$33.94	$44.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $33.94 / $84.60	Facility		$27.15	$33.94	$84.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.13 / $49.04	Professional		$17.98	$26.13	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.45 / $27.71	Professional		$14.25	$19.45	$27.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.76 / $33.94	Professional		$13.24	$16.76	$33.94