Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $61.66 / $186.21	Facility		$12.59	$61.66	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $30.90	Professional		$10.96	$14.79	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $26.30	Professional		$8.13	$10.23	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $57.54 / $102.33	Facility		$22.91	$57.54	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.33 / $16.22	Professional		$5.01	$9.33	$16.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $104.71	Facility		$15.85	$25.70	$104.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $27.54	Professional		$12.02	$16.98	$27.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $89.13	Facility		$16.60	$37.15	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $28.18	Professional		$9.12	$12.59	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $25.70	Professional		$14.45	$16.22	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $120.23	Facility		$12.88	$16.98	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $29.51	Professional		$10.00	$15.14	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $14.45	Professional		$12.88	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.98 / $50.12	Facility		$13.49	$16.98	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $28.18	Professional		$9.55	$13.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.23 / $16.98	Facility		$6.17	$10.23	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $14.45	Professional		$7.08	$10.00	$14.45