Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $79.77 / $195.24	Facility		$28.67	$79.77	$195.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $33.70 / $37.72	Professional		$22.64	$33.70	$37.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $22.64 / $26.20	Professional		$18.11	$22.64	$26.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $120.77 / $209.67	Facility		$46.58	$120.77	$209.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.00 / $32.94	Professional		$5.00	$20.00	$32.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $60.37 / $225.91	Facility		$37.72	$60.37	$225.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $37.50 / $56.60	Professional		$28.30	$37.50	$56.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $36.97 / $37.72	Facility		$36.97	$36.97	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $82.28 / $167.57	Facility		$26.37	$82.28	$167.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.62 / $63.46	Professional		$20.00	$27.62	$63.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $180.45 / $180.45	Facility		$89.90	$180.45	$180.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $37.72 / $45.28	Facility		$30.18	$37.72	$45.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.72 / $49.16	Professional		$33.96	$37.72	$49.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $37.72 / $94.86	Facility		$30.18	$37.72	$94.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $29.05 / $54.50	Professional		$20.00	$29.05	$54.50
United Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $37.72 / $45.28	Facility		$22.13	$37.72	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.61 / $30.80	Professional		$15.85	$21.61	$30.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.63 / $37.72	Professional		$14.71	$18.63	$37.72