Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $95.50 / $234.42	Facility		$28.84	$95.50	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $44.67	Professional		$22.91	$32.36	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $26.30	Professional		$18.20	$22.91	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $218.78	Facility		$48.98	$123.03	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $20.89 / $33.88	Professional		$5.01	$20.89	$33.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $229.09	Facility		$34.67	$56.23	$229.09
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $60.26	Professional		$26.30	$38.02	$60.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $38.02	Facility		$37.15	$37.15	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $77.62 / $177.83	Facility		$33.88	$77.62	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $63.10	Professional		$19.95	$26.92	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.02 / $177.83	Facility		$28.84	$38.02	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $50.12	Professional		$21.88	$33.88	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $31.62	Professional		$28.18	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $107.15	Facility		$30.20	$38.02	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $63.10	Professional		$21.38	$27.54	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $22.39 / $38.02	Facility		$13.49	$22.39	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $30.90	Professional		$15.85	$21.88	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $38.02	Professional		$14.79	$14.79	$38.02