Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $91.26 / $202.57	Facility		$16.27	$91.26	$202.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $19.07 / $24.62	Professional		$12.85	$19.07	$24.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $12.85	Professional		$10.28	$10.28	$12.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $68.94 / $128.03	Facility		$25.26	$68.94	$128.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.35 / $18.69	Professional		$5.00	$11.35	$18.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $34.26 / $121.29	Facility		$20.34	$34.26	$121.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $21.41 / $34.26	Professional		$16.05	$21.41	$34.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $22.48 / $22.48	Facility		$21.41	$22.48	$22.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $47.05 / $108.40	Facility		$14.96	$47.05	$108.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $15.70 / $36.11	Professional		$11.35	$15.70	$36.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $235.62 / $235.62	Facility		$185.31	$235.62	$235.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $21.41 / $29.24	Facility		$17.13	$21.41	$29.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $21.41 / $27.90	Professional		$19.27	$21.41	$27.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $21.41 / $50.70	Facility		$17.13	$21.41	$50.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $16.46 / $31.05	Professional		$11.35	$16.46	$31.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.25 / $17.71	Professional		$8.99	$12.25	$17.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $10.57 / $21.41	Professional		$8.35	$10.57	$21.41