Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $16.43 / $55.46	Facility		$2.27	$16.43	$55.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.27 / $4.16	Professional		$1.57	$2.27	$4.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.52 / $1.76	Professional		$1.22	$1.52	$1.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $7.29 / $14.71	Facility		$3.13	$7.29	$14.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.54 / $5.50	Professional		$1.35	$2.54	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.92 / $5.72	Facility		$2.54	$2.92	$5.72
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.33 / $3.81	Professional		$1.78	$2.33	$3.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.54	Facility		$2.29	$2.29	$2.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $5.58 / $12.56	Facility		$1.93	$5.58	$12.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.95 / $5.11	Professional		$1.35	$1.95	$5.11
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 $2.02 / $2.54 / $3.73	Facility		$2.02	$2.54	$3.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.54 / $3.31	Professional		$2.29	$2.54	$3.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.54 / $7.01	Facility		$2.02	$2.54	$7.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.97 / $3.67	Professional		$1.35	$1.97	$3.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.45 / $2.10	Professional		$1.07	$1.45	$2.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.25 / $2.54	Professional		$0.99	$1.25	$2.54