Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $75.95 / $209.99	Facility		$14.63	$75.95	$209.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.69 / $16.85	Professional		$10.95	$14.69	$16.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $10.11 / $11.70	Professional		$6.26	$10.11	$11.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $53.08 / $97.18	Facility		$17.95	$53.08	$97.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.93 / $13.48	Professional		$5.00	$8.93	$13.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $26.96 / $50.17	Facility		$16.85	$26.96	$50.17
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $16.66 / $25.28	Professional		$11.88	$16.66	$25.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $16.85	Facility		$16.51	$16.51	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $37.01 / $84.63	Facility		$11.77	$37.01	$84.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.27 / $28.45	Professional		$8.93	$12.27	$28.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $89.00 / $89.00	Facility		$54.69	$89.00	$89.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $16.85 / $25.05	Facility		$12.64	$16.85	$25.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.85 / $21.95	Professional		$14.32	$16.85	$21.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $16.85 / $40.24	Facility		$13.14	$16.85	$40.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.50 / $24.42	Professional		$8.93	$12.50	$24.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.64 / $13.76	Professional		$7.08	$9.64	$13.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $8.32 / $16.85	Professional		$6.57	$8.32	$16.85