Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $54.95 / $251.19	Facility		$22.91	$54.95	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $33.88	Professional		$18.20	$23.99	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $19.05	Professional		$14.79	$18.62	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $87.10 / $158.49	Facility		$32.36	$87.10	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.98 / $30.20	Professional		$5.01	$16.98	$30.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $44.67 / $58.88	Facility		$28.18	$44.67	$58.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $48.98	Professional		$21.38	$31.62	$48.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $30.90 / $30.90	Facility		$9.33	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $52.48 / $138.04	Facility		$25.12	$52.48	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $46.77	Professional		$14.79	$16.98	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $61.66	Facility		$22.39	$30.90	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $32.36	Professional		$18.20	$25.70	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $33.11	Professional		$22.91	$25.70	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $87.10	Facility		$22.39	$30.90	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $44.67	Professional		$14.79	$16.98	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $15.85 / $30.90	Facility		$11.22	$15.85	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.80 / $19.95	Professional		$12.88	$13.80	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $30.90	Professional		$12.02	$12.02	$30.90