Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $53.35 / $102.19	Facility		$14.17	$53.35	$102.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.94 / $18.19	Professional		$11.25	$15.94	$18.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $11.25 / $13.02	Professional		$9.00	$11.25	$13.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $62.06 / $109.96	Facility		$23.44	$62.06	$109.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.94 / $16.69	Professional		$5.00	$9.94	$16.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $30.00 / $110.98	Facility		$18.75	$30.00	$110.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $17.98 / $29.01	Professional		$13.13	$17.98	$29.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $18.75 / $21.60	Facility		$18.75	$18.75	$21.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $41.20 / $95.18	Facility		$13.10	$41.20	$95.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.72 / $31.73	Professional		$9.94	$13.72	$31.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $89.64 / $100.00	Facility		$82.45	$89.64	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $18.75 / $27.84	Facility		$15.00	$18.75	$27.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $24.43	Professional		$18.75	$18.75	$24.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $18.75 / $47.18	Facility		$15.00	$18.75	$47.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $14.42 / $26.87	Professional		$9.94	$14.42	$26.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.80 / $18.60	Professional		$7.88	$10.80	$18.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.26 / $18.75	Professional		$7.31	$9.26	$18.75