Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $88.77 / $157.77	Facility		$15.43	$88.77	$157.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $17.59 / $18.69	Professional		$12.19	$17.59	$18.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.19 / $14.11	Professional		$9.75	$12.19	$14.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $66.48 / $118.93	Facility		$25.20	$66.48	$118.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.77 / $18.07	Professional		$5.00	$10.77	$18.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $32.51 / $112.55	Facility		$20.32	$32.51	$112.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.29 / $30.48	Professional		$14.22	$18.29	$30.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $20.12 / $20.32	Facility		$20.12	$20.12	$20.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $44.65 / $103.14	Facility		$14.20	$44.65	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $14.80 / $34.47	Professional		$10.77	$14.80	$34.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $96.72 / $129.00	Facility		$74.47	$96.72	$129.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $20.32 / $28.88	Facility		$16.26	$20.32	$28.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $20.32 / $26.49	Professional		$18.29	$20.32	$26.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $20.32 / $48.29	Facility		$16.26	$20.32	$48.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $15.65 / $29.36	Professional		$10.77	$15.65	$29.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.73 / $16.59	Professional		$8.52	$11.73	$16.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $10.03 / $20.32	Professional		$7.92	$10.03	$20.32