Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $93.07 / $164.48	Facility		$22.31	$93.07	$164.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $25.39 / $47.97	Professional		$17.61	$25.39	$47.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.61 / $49.93	Professional		$14.09	$17.61	$49.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $93.63 / $166.41	Facility		$35.22	$93.63	$166.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.56 / $28.76	Professional		$9.69	$15.56	$28.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $45.49 / $170.44	Facility		$29.35	$45.49	$170.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $29.35 / $48.67	Professional		$20.55	$29.35	$48.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $28.91 / $29.35	Facility		$28.91	$28.91	$29.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $64.11 / $134.52	Facility		$20.50	$64.11	$134.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $27.98 / $88.02	Professional		$18.79	$27.98	$88.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $215.25 / $215.25	Facility		$80.00	$215.25	$215.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.07 / $29.35 / $38.15	Facility		$24.07	$29.35	$38.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $29.35 / $53.12	Professional		$26.42	$29.35	$53.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $29.35 / $73.81	Facility		$24.95	$29.35	$73.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $29.35 / $44.14	Professional		$18.79	$29.35	$44.14
United Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $29.35 / $48.31	Facility		$17.66	$29.35	$48.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $16.82 / $29.35	Professional		$12.33	$16.82	$29.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $14.49 / $29.35	Professional		$11.45	$14.49	$29.35