Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $32.43 / $88.94	Facility		$13.00	$32.43	$88.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $14.62 / $28.11	Professional		$10.31	$14.62	$28.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $10.31	Professional		$8.25	$8.25	$10.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $56.73 / $102.97	Facility		$21.32	$56.73	$102.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.11 / $15.30	Professional		$5.00	$9.11	$15.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $28.36 / $102.96	Facility		$16.32	$28.36	$102.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $17.01 / $26.85	Professional		$12.03	$17.01	$26.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $24.07 / $24.07	Facility		$17.19	$24.07	$24.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $37.75 / $87.26	Facility		$12.02	$37.75	$87.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.70 / $26.33	Professional		$9.11	$12.70	$26.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $99.00 / $149.00	Facility		$59.96	$99.00	$149.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $17.19 / $22.35	Facility		$13.75	$17.19	$22.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $17.19 / $22.40	Professional		$15.47	$17.19	$22.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $17.19 / $42.86	Facility		$13.75	$17.19	$42.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.37 / $24.84	Professional		$9.11	$13.37	$24.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $9.84 / $14.04	Professional		$7.22	$9.84	$14.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.49 / $17.19	Professional		$6.70	$8.49	$17.19