Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $52.89 / $134.99	Facility		$12.94	$52.89	$134.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.00 / $20.53	Professional		$9.58	$13.00	$20.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $55.78 / $97.15	Facility		$21.22	$55.78	$97.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.07 / $14.04	Professional		$5.00	$9.07	$14.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $26.52 / $90.25	Facility		$17.11	$26.52	$90.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $17.11 / $18.53	Facility		$17.11	$17.11	$18.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $35.65 / $80.65	Facility		$11.96	$35.65	$80.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $11.73 / $27.35	Professional		$9.07	$11.73	$27.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $92.38 / $100.00	Facility		$73.54	$92.38	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $17.11 / $22.24	Facility		$13.34	$17.11	$22.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.11 / $19.91	Professional		$16.20	$17.11	$19.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $17.11 / $40.24	Facility		$13.34	$17.11	$40.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $12.36 / $23.03	Professional		$9.07	$12.36	$23.03
United Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $11.03 / $12.13	Facility		$5.99	$11.03	$12.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.41 / $14.70	Professional		$7.19	$9.41	$14.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $7.94 / $17.11	Professional		$6.67	$7.94	$17.11