Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $58.09 / $189.35	Facility		$11.36	$58.09	$189.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $24.92 / $27.24	Professional		$9.17	$24.92	$27.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.44 / $15.03	Professional		$7.22	$10.44	$15.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $49.00 / $89.88	Facility		$18.64	$49.00	$89.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.97 / $13.38	Professional		$5.00	$7.97	$13.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $24.05 / $92.21	Facility		$15.03	$24.05	$92.21
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.03 / $22.55	Professional		$11.27	$15.03	$22.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $28.26 / $28.26	Facility		$15.03	$28.26	$28.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $33.02 / $75.36	Facility		$10.51	$33.02	$75.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.01 / $25.17	Professional		$7.97	$11.01	$25.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $142.80 / $142.80	Facility		$83.02	$142.80	$142.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.03 / $20.22	Facility		$12.02	$15.03	$20.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $15.03 / $19.59	Professional		$13.53	$15.03	$19.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.03 / $37.46	Facility		$12.02	$15.03	$37.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.57 / $21.73	Professional		$7.97	$11.57	$21.73
United Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $15.03 / $18.04	Facility		$8.82	$15.03	$18.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.60 / $12.28	Professional		$6.31	$8.60	$12.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.42 / $15.03	Professional		$5.86	$7.42	$15.03