Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $31.57 / $87.51	Facility		$12.78	$31.57	$87.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $14.62 / $29.48	Professional		$10.15	$14.62	$29.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $10.15	Professional		$8.11	$8.11	$10.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $55.80 / $101.80	Facility		$20.88	$55.80	$101.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.96 / $14.77	Professional		$5.00	$8.96	$14.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $16.66 / $26.41	Professional		$11.84	$16.66	$26.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $16.91 / $19.48	Facility		$16.91	$16.91	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $37.15 / $85.94	Facility		$11.81	$37.15	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $12.27 / $28.45	Professional		$8.96	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $94.06 / $100.00	Facility		$59.16	$94.06	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $16.91 / $21.98	Facility		$13.53	$16.91	$21.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $16.91 / $22.04	Professional		$15.90	$16.91	$22.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $16.91 / $42.14	Facility		$13.53	$16.91	$42.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $13.00 / $24.22	Professional		$8.96	$13.00	$24.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.92 / $15.75	Professional		$7.10	$9.92	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.35 / $16.91	Professional		$6.59	$8.35	$16.91