Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $67.06 / $166.92	Facility		$13.66	$67.06	$166.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $16.01 / $20.68	Professional		$10.79	$16.01	$20.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $57.90 / $105.18	Facility		$20.56	$57.90	$105.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.52 / $16.00	Professional		$5.00	$9.52	$16.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.98 / $28.05	Professional		$12.59	$17.98	$28.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $17.98	Facility		$17.62	$17.62	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $39.28 / $91.24	Facility		$12.57	$39.28	$91.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.18 / $30.09	Professional		$9.52	$13.18	$30.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $86.10 / $86.10	Facility		$56.75	$86.10	$86.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $17.98 / $23.37	Facility		$14.38	$17.98	$23.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.98 / $23.43	Professional		$17.12	$17.98	$23.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $17.98 / $41.70	Facility		$14.38	$17.98	$41.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.84 / $25.97	Professional		$9.52	$13.84	$25.97
United Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $17.98 / $21.58	Facility		$10.55	$17.98	$21.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.29 / $14.68	Professional		$7.55	$10.29	$14.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $8.88 / $17.98	Professional		$7.01	$8.88	$17.98