Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $64.64 / $92.19	Facility		$13.66	$64.64	$92.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $16.01 / $17.98	Professional		$10.79	$16.01	$17.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $10.79 / $12.48	Professional		$6.29	$10.79	$12.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $57.90 / $107.70	Facility		$20.56	$57.90	$107.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.52 / $15.69	Professional		$5.00	$9.52	$15.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $28.77 / $85.89	Facility		$17.98	$28.77	$85.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.98 / $25.17	Professional		$12.59	$17.98	$25.17
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 / $39.51 / $80.01	Facility		$12.57	$39.51	$80.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.36 / $30.09	Professional		$9.52	$13.36	$30.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.41 / $85.41	Facility		$80.00	$85.41	$85.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $17.98 / $21.26	Facility		$14.38	$17.98	$21.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $17.98 / $23.43	Professional		$16.18	$17.98	$23.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $17.98 / $42.66	Facility		$14.38	$17.98	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $13.98 / $25.97	Professional		$9.52	$13.98	$25.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.29 / $12.04	Professional		$7.55	$10.29	$12.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $8.88 / $17.98	Professional		$7.01	$8.88	$17.98