Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $77.62 / $167.99	Facility		$15.82	$77.62	$167.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $18.55 / $37.10	Professional		$12.49	$18.55	$37.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $12.49	Professional		$9.99	$9.99	$12.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $68.61 / $123.40	Facility		$26.01	$68.61	$123.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $18.52	Professional		$5.00	$11.03	$18.52
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $33.29 / $127.63	Facility		$20.81	$33.29	$127.63
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $19.98 / $31.22	Professional		$14.57	$19.98	$31.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $25.49 / $25.49	Facility		$20.81	$25.49	$25.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $45.73 / $105.77	Facility		$14.54	$45.73	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.16 / $35.01	Professional		$11.03	$15.16	$35.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $99.06 / $100.00	Facility		$65.08	$99.06	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $31.02	Facility		$16.64	$20.81	$31.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.81 / $28.09	Professional		$18.73	$20.81	$28.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $51.91	Facility		$16.64	$20.81	$51.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.00 / $30.07	Professional		$11.03	$16.00	$30.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.92 / $16.98	Professional		$8.74	$11.92	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.28 / $20.81	Professional		$8.11	$10.28	$20.81