Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $75.86 / $218.78	Facility		$13.49	$75.86	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $20.89	Professional		$10.00	$14.79	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.00 / $14.45	Professional		$5.62	$10.00	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $52.48 / $93.33	Facility		$19.50	$52.48	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.33 / $15.14	Professional		$5.01	$9.33	$15.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $58.88	Facility		$15.14	$26.30	$58.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $26.92	Professional		$11.75	$16.98	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.98	Facility		$16.60	$16.60	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $37.15 / $91.20	Facility		$16.60	$37.15	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.18	Professional		$8.91	$12.02	$28.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $141.25	Facility		$12.88	$16.98	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $21.88	Professional		$10.00	$15.14	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $14.13	Professional		$12.59	$14.13	$14.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $48.98	Facility		$13.18	$16.98	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $28.18	Professional		$9.55	$12.02	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.00 / $16.98	Facility		$6.03	$10.00	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $13.80	Professional		$7.08	$9.77	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $16.98	Professional		$6.61	$6.61	$16.98