Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $109.65 / $338.84	Facility		$10.00	$109.65	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $15.14	Professional		$5.01	$7.24	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $8.32	Professional		$4.07	$5.01	$8.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $25.12 / $48.98	Facility		$9.12	$25.12	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.01 / $8.32	Professional		$4.68	$5.01	$8.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.59 / $60.26	Facility		$7.76	$12.59	$60.26
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.51 / $13.49	Professional		$5.89	$8.51	$13.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $18.20 / $45.71	Facility		$8.13	$18.20	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.03 / $17.38	Professional		$4.47	$6.03	$17.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $100.00	Facility		$72.44	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.96 / $269.15	Facility		$6.76	$10.96	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $14.45	Professional		$5.01	$7.59	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.08 / $7.08	Professional		$6.31	$7.08	$7.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.32 / $24.55	Facility		$6.76	$8.32	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.17 / $14.13	Professional		$4.79	$6.17	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.62 / $8.32	Facility		$3.02	$5.62	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.90 / $7.24	Professional		$3.55	$4.90	$7.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $8.32	Professional		$3.31	$3.31	$8.32