Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $81.06 / $261.56	Facility		$14.36	$81.06	$261.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.61 / $12.96	Professional		$6.48	$9.61	$12.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.50 / $10.80	Professional		$5.18	$7.50	$10.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $33.70 / $63.23	Facility		$11.77	$33.70	$63.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.72 / $10.80	Professional		$5.00	$5.72	$10.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $16.20 / $135.30	Facility		$10.26	$16.20	$135.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.76 / $16.78	Professional		$7.56	$10.76	$16.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.80	Facility		$10.58	$10.58	$10.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $23.73 / $54.22	Facility		$7.55	$23.73	$54.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.94 / $18.05	Professional		$5.72	$7.94	$18.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $80.61 / $100.00	Facility		$64.17	$80.61	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $10.80 / $18.89	Facility		$8.64	$10.80	$18.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.80 / $14.08	Professional		$9.72	$10.80	$14.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $10.80 / $26.94	Facility		$8.64	$10.80	$26.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.31 / $15.61	Professional		$5.72	$8.31	$15.61
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.18 / $8.82	Professional		$4.54	$6.18	$8.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.34 / $10.80	Professional		$4.21	$5.34	$10.80