Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $64.57 / $173.78	Facility		$13.49	$64.57	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $20.89	Professional		$10.47	$15.14	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.96	Professional		$10.72	$10.72	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $58.88 / $104.71	Facility		$21.88	$58.88	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $17.38	Professional		$5.01	$10.00	$17.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.92 / $100.00	Facility		$16.60	$26.92	$100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $28.84	Professional		$12.59	$18.62	$28.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.02 / $95.50	Facility		$17.38	$38.02	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $30.20	Professional		$9.55	$12.88	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $81.28	Facility		$13.49	$17.78	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $23.44	Professional		$10.00	$16.22	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $15.14	Professional		$13.49	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $50.12	Facility		$14.45	$17.78	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $30.20	Professional		$10.00	$13.18	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $17.78	Facility		$6.46	$10.72	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $15.14	Professional		$7.59	$10.47	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $17.78	Professional		$7.08	$7.08	$17.78