Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $61.63 / $110.92	Facility		$12.97	$61.63	$110.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.73 / $20.59	Professional		$10.30	$13.73	$20.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $10.30	Professional		$8.24	$8.24	$10.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $56.63 / $102.79	Facility		$21.19	$56.63	$102.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.09 / $15.27	Professional		$5.00	$9.09	$15.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $26.60 / $96.31	Facility		$17.16	$26.60	$96.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $17.16 / $19.77	Facility		$17.16	$17.16	$19.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $37.69 / $87.26	Facility		$11.99	$37.69	$87.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $12.46 / $28.99	Professional		$9.09	$12.46	$28.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $103.00 / $103.00	Facility		$55.00	$103.00	$103.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $17.16 / $22.31	Facility		$13.73	$17.16	$22.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.16 / $22.36	Professional		$16.20	$17.16	$22.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $17.16 / $42.99	Facility		$13.73	$17.16	$42.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $13.21 / $24.58	Professional		$9.09	$13.21	$24.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.82 / $14.01	Professional		$7.21	$9.82	$14.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.48 / $17.16	Professional		$6.69	$8.48	$17.16