Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $54.29 / $169.29	Facility		$13.54	$54.29	$169.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.47 / $24.58	Professional		$10.74	$15.47	$24.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $10.74	Professional		$8.59	$8.59	$10.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $59.07 / $107.22	Facility		$22.38	$59.07	$107.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.49 / $15.93	Professional		$5.00	$9.49	$15.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $27.75 / $105.98	Facility		$17.89	$27.75	$105.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $20.63	Facility		$17.89	$17.89	$20.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $39.34 / $89.89	Facility		$12.51	$39.34	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.00 / $30.09	Professional		$9.49	$13.00	$30.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $146.00 / $146.00	Facility		$96.90	$146.00	$146.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $23.27	Facility		$14.32	$17.89	$23.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.89 / $19.84	Professional		$16.80	$17.89	$19.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.89 / $49.45	Facility		$14.32	$17.89	$49.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.78 / $23.23	Professional		$9.49	$13.78	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.32 / $14.62	Professional		$7.52	$10.32	$14.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.84 / $17.89	Professional		$6.98	$8.84	$17.89