Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $79.43 / $190.55	Facility		$16.22	$79.43	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $30.90	Professional		$12.88	$18.20	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $33.11	Professional		$10.23	$12.88	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $70.79 / $125.89	Facility		$26.30	$70.79	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.75 / $19.50	Professional		$5.01	$11.75	$19.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $104.71	Facility		$19.95	$32.36	$104.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $34.67	Professional		$15.14	$21.38	$34.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $22.39 / $22.39	Facility		$21.38	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $46.77 / $114.82	Facility		$20.89	$46.77	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $36.31	Professional		$11.22	$15.49	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.38 / $141.25	Facility		$16.22	$21.38	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $32.36	Professional		$12.02	$19.05	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $17.78	Professional		$16.22	$17.78	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $63.10	Facility		$16.98	$21.38	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $36.31	Professional		$12.02	$15.85	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.88 / $21.38	Facility		$7.76	$12.88	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $18.20	Professional		$8.91	$12.59	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $21.38	Professional		$8.32	$8.32	$21.38