Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $38.02 / $125.89	Facility		$14.45	$38.02	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $33.11	Professional		$10.00	$15.85	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $107.15	Facility		$20.42	$54.95	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.22 / $20.42	Professional		$5.01	$11.22	$20.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.51 / $58.88	Facility		$18.62	$29.51	$58.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $20.42	Facility		$19.95	$19.95	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $91.20	Facility		$10.96	$35.48	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.59 / $30.20	Professional		$5.75	$7.59	$30.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $100.00 / $100.00	Facility		$97.72	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $40.74	Facility		$13.49	$20.42	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $23.99	Professional		$11.22	$15.85	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $17.38	Professional		$15.49	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $51.29	Facility		$12.30	$20.42	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.47 / $25.12	Professional		$5.75	$10.47	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.41 / $20.42	Facility		$6.17	$7.41	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.51 / $12.59	Professional		$5.25	$8.51	$12.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $20.42	Professional		$7.94	$7.94	$20.42