Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $21.10 / $74.66	Facility		$3.61	$21.10	$74.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.85 / $5.70	Professional		$2.66	$3.85	$5.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.85 / $2.85	Professional		$2.27	$2.85	$2.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $15.15 / $26.93	Facility		$5.28	$15.15	$26.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.75 / $5.50	Professional		$2.52	$4.75	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $7.36 / $26.65	Facility		$4.75	$7.36	$26.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.75 / $7.13	Professional		$3.56	$4.75	$7.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $6.65 / $6.65	Facility		$4.75	$6.65	$6.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $10.38 / $21.15	Facility		$3.32	$10.38	$21.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.46 / $8.21	Professional		$2.52	$3.46	$8.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $60.00 / $60.00	Facility		$29.00	$60.00	$60.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.75 / $7.16	Facility		$3.80	$4.75	$7.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.75 / $4.75	Professional		$3.56	$4.75	$4.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.75 / $12.17	Facility		$3.80	$4.75	$12.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $3.24 / $5.38	Professional		$1.08	$3.24	$5.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.72 / $4.75	Professional		$2.00	$2.72	$4.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.34 / $4.75	Professional		$1.85	$2.34	$4.75