Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $65.47 / $191.24	Facility		$26.53	$65.47	$191.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $28.07 / $42.11	Professional		$21.05	$28.07	$42.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.66 / $211.24	Facility		$43.33	$112.66	$211.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $52.64 / $197.01	Facility		$33.34	$52.64	$197.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $31.58 / $49.13	Professional		$24.56	$31.58	$49.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $80.00	Facility		$35.09	$35.09	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $194.00 / $206.00	Facility		$88.87	$194.00	$206.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $325.62 / $325.62	Professional		$325.62	$325.62	$325.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $52.09 / $87.97	Facility		$28.10	$52.09	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $52.64	Professional		$35.09	$35.09	$52.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.07 / $29.42	Professional		$14.74	$20.07	$29.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09