Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $22.49 / $233.32	Facility		$7.95	$22.49	$233.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $9.16 / $32.07	Professional		$7.23	$9.16	$32.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $36.15 / $67.59	Facility		$14.34	$36.15	$67.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $20.00 / $26.41	Professional		$5.00	$20.00	$26.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $56.60 / $84.89	Facility		$37.72	$56.60	$84.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $15.59 / $167.57	Facility		$4.97	$15.59	$167.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $21.20 / $72.12	Professional		$6.75	$21.20	$72.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $179.22 / $179.22	Facility		$60.37	$179.22	$179.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $37.72 / $39.61	Facility		$10.50	$37.72	$39.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $37.72 / $60.77	Professional		$33.96	$37.72	$60.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $37.72 / $45.28	Facility		$9.64	$37.72	$45.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $12.29 / $37.72	Professional		$6.75	$12.29	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $14.34	Professional		$5.05	$5.05	$14.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.82 / $37.72	Professional		$4.70	$4.82	$37.72