Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $54.08 / $215.57	Facility		$23.33	$54.08	$215.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $21.60 / $30.86	Professional		$17.28	$21.60	$30.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $86.10 / $160.47	Facility		$30.86	$86.10	$160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.36 / $27.47	Professional		$5.00	$16.36	$27.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $46.29 / $57.09	Facility		$30.86	$46.29	$57.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $30.55 / $43.20	Professional		$21.60	$30.55	$43.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $30.86 / $30.86	Facility		$9.42	$30.86	$30.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $52.81 / $131.85	Facility		$21.56	$52.81	$131.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $17.64 / $46.98	Professional		$14.74	$17.64	$46.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $146.59 / $146.59	Facility		$75.61	$146.59	$146.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $30.86 / $33.95	Facility		$22.47	$30.86	$33.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $30.86 / $30.86	Professional		$28.42	$30.86	$30.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $30.86 / $73.23	Facility		$22.47	$30.86	$73.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $18.75 / $33.15	Professional		$14.74	$18.75	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.22 / $18.73	Professional		$12.96	$13.22	$18.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $15.99	Professional		$12.04	$12.04	$15.99