Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $48.64 / $168.44	Facility		$19.70	$48.64	$168.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $22.72 / $31.28	Professional		$14.60	$22.72	$31.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $18.11 / $18.11	Professional		$12.51	$18.11	$18.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $86.03 / $155.90	Facility		$32.33	$86.03	$155.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.82 / $23.20	Professional		$5.00	$13.82	$23.20
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $39.11 / $159.91	Facility		$24.77	$39.11	$159.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $26.04 / $40.27	Professional		$18.25	$26.04	$40.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $26.07	Facility		$25.55	$25.55	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $57.29 / $132.19	Facility		$18.22	$57.29	$132.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $18.95 / $43.77	Professional		$13.82	$18.95	$43.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $125.01 / $125.01	Facility		$85.74	$125.01	$125.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $26.07 / $38.81	Facility		$20.86	$26.07	$38.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $26.07 / $29.71	Professional		$23.46	$26.07	$29.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $26.07 / $64.95	Facility		$20.86	$26.07	$64.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $20.05 / $34.79	Professional		$13.82	$20.05	$34.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.91 / $21.29	Professional		$10.95	$14.91	$21.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.87 / $26.07	Professional		$10.17	$12.87	$26.07