Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $56.23 / $223.87	Facility		$11.75	$56.23	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $18.62	Professional		$10.00	$12.88	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $13.18	Professional		$7.41	$9.33	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.12 / $91.20	Facility		$16.98	$50.12	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.51 / $15.49	Professional		$5.01	$8.51	$15.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $95.50	Facility		$14.45	$23.99	$95.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $25.12	Professional		$10.96	$15.49	$25.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $15.49	Facility		$10.96	$10.96	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $32.36 / $79.43	Facility		$14.13	$32.36	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $26.30	Professional		$8.32	$10.96	$26.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $141.25	Facility		$74.13	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.49 / $85.11	Facility		$11.75	$15.49	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $18.20	Professional		$8.91	$13.80	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $13.18	Professional		$11.75	$13.18	$13.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.49 / $45.71	Facility		$12.59	$15.49	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $26.30	Professional		$8.91	$12.02	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $9.33 / $15.49	Facility		$5.62	$9.33	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $21.88	Professional		$6.61	$9.12	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $15.49	Professional		$6.03	$6.03	$15.49