Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $40.90 / $129.49	Facility		$4.30	$40.90	$129.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.99 / $6.85	Professional		$2.69	$3.99	$6.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.69 / $3.11	Professional		$2.15	$2.69	$3.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $14.29 / $26.84	Facility		$5.05	$14.29	$26.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $4.03 / $5.50	Professional		$2.46	$4.03	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $6.94 / $27.45	Facility		$4.48	$6.94	$27.45
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.38 / $6.72	Professional		$3.14	$4.38	$6.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.97 / $4.97	Facility		$4.48	$4.97	$4.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $9.77 / $20.35	Facility		$3.13	$9.77	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.48 / $9.21	Professional		$2.37	$3.48	$9.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $4.48 / $6.56	Facility		$3.58	$4.48	$6.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.48 / $6.30	Professional		$4.03	$4.48	$6.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $4.48 / $11.25	Facility		$3.58	$4.48	$11.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.75 / $6.42	Professional		$2.37	$3.75	$6.42
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.63 / $3.84	Professional		$1.88	$2.63	$3.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.21 / $4.48	Professional		$1.75	$2.21	$4.48