Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $19.30 / $234.79	Facility		$3.94	$19.30	$234.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.94 / $6.22	Professional		$2.90	$3.94	$6.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.11 / $3.11	Professional		$2.49	$3.11	$3.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $388.88 / $744.77	Facility		$129.18	$388.88	$744.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.00 / $5.50	Professional		$2.75	$5.00	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $8.55 / $596.59	Facility		$5.18	$8.55	$596.59
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.00 / $7.77	Professional		$3.63	$5.00	$7.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.96	Facility		$5.18	$5.18	$5.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $11.39 / $26.43	Facility		$3.62	$11.39	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.81 / $8.75	Professional		$2.75	$3.81	$8.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $62.64 / $62.64	Facility		$50.00	$62.64	$62.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $5.18 / $6.73	Facility		$3.94	$5.18	$6.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.18 / $6.75	Professional		$4.66	$5.18	$6.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $5.18 / $12.98	Facility		$4.05	$5.18	$12.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.98 / $7.50	Professional		$2.75	$3.98	$7.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.97 / $5.18	Professional		$2.18	$2.97	$5.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.56 / $5.18	Professional		$2.02	$2.56	$5.18