Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $112.03 / $397.34	Facility		$23.57	$112.03	$397.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $17.91 / $35.88	Professional		$14.61	$17.91	$35.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $11.31 / $14.14	Professional		$8.25	$11.31	$14.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $72.59 / $127.04	Facility		$25.46	$72.59	$127.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $12.49 / $23.10	Professional		$5.00	$12.49	$23.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $34.18 / $121.29	Facility		$21.21	$34.18	$121.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $23.57 / $35.36	Professional		$16.50	$23.57	$35.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $24.75 / $24.75	Facility		$23.57	$24.75	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $45.59 / $105.67	Facility		$16.47	$45.59	$105.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $14.72 / $36.14	Professional		$12.15	$14.72	$36.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $550.79 / $550.79	Facility		$56.84	$550.79	$550.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $23.57 / $29.46	Facility		$17.68	$23.57	$29.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $23.57 / $25.78	Professional		$21.21	$23.57	$25.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $23.57 / $54.48	Facility		$17.68	$23.57	$54.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $15.21 / $28.34	Professional		$12.41	$15.21	$28.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.55 / $16.14	Professional		$9.90	$11.55	$16.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.77 / $23.57	Professional		$9.19	$9.77	$23.57