Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $78.81 / $491.40	Facility		$20.23	$78.81	$491.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $23.87 / $95.89	Professional		$16.07	$23.87	$95.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $16.07 / $18.59	Professional		$12.86	$16.07	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $86.77 / $155.00	Facility		$33.06	$86.77	$155.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.19 / $23.38	Professional		$5.00	$14.19	$23.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $123.06 / $123.06 / $187.67	Facility		$123.06	$123.06	$187.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $26.73 / $37.49	Professional		$18.75	$26.73	$37.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $30.85	Facility		$26.78	$26.78	$30.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $58.50 / $122.09	Facility		$18.71	$58.50	$122.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $19.50 / $41.00	Professional		$14.19	$19.50	$41.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $127.38 / $127.38	Facility		$87.95	$127.38	$127.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $26.78 / $31.94	Facility		$21.42	$26.78	$31.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $26.78 / $26.78	Professional		$23.58	$26.78	$26.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $26.78 / $66.73	Facility		$21.42	$26.78	$66.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.62 / $26.78	Professional		$14.19	$20.62	$26.78
United Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $26.78 / $32.14	Facility		$15.71	$26.78	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.71 / $21.86	Professional		$11.25	$15.71	$21.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $13.22 / $26.78	Professional		$10.44	$13.22	$26.78