Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $61.43 / $161.37	Facility		$12.94	$61.43	$161.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $14.85 / $30.88	Professional		$10.73	$14.85	$30.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $11.83 / $28.98	Professional		$8.17	$11.83	$28.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $56.14 / $101.84	Facility		$21.12	$56.14	$101.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.02 / $15.16	Professional		$5.00	$9.02	$15.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $26.40 / $95.62	Facility		$17.03	$26.40	$95.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $17.03 / $25.55	Professional		$12.77	$17.03	$25.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Facility		$17.03	$17.03	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $37.42 / $85.94	Facility		$11.90	$37.42	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $13.10 / $28.45	Professional		$9.02	$13.10	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $97.00 / $97.00	Facility		$59.94	$97.00	$97.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $17.03 / $25.47	Facility		$13.62	$17.03	$25.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.03 / $22.19	Professional		$15.33	$17.03	$22.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $17.03 / $42.84	Facility		$13.64	$17.03	$42.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.28 / $24.60	Professional		$9.02	$14.28	$24.60
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.03 / $20.44	Facility		$10.00	$17.03	$20.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $9.76 / $14.47	Professional		$7.15	$9.76	$14.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $17.03	Professional		$8.41	$8.41	$17.03