Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $44.67 / $117.49	Facility		$18.20	$44.67	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $28.84	Professional		$14.13	$19.05	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.59	Professional		$12.02	$12.02	$12.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $128.82	Facility		$28.84	$75.86	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $13.18 / $23.99	Professional		$5.01	$13.18	$23.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.67 / $128.82	Facility		$22.39	$34.67	$128.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $23.99	Facility		$20.42	$20.42	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $107.15	Facility		$19.50	$43.65	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $36.31	Professional		$10.96	$12.59	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $44.67	Facility		$17.38	$22.91	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $28.18	Professional		$14.13	$19.05	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $20.42	Professional		$18.20	$20.42	$20.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.99 / $67.61	Facility		$17.38	$23.99	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.88 / $36.31	Professional		$11.22	$12.88	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.02 / $23.99	Facility		$8.71	$12.02	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $22.91	Professional		$10.00	$10.23	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $23.99	Professional		$9.33	$9.33	$23.99