Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $77.78 / $279.47	Facility		$31.51	$77.78	$279.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $31.26 / $57.23	Professional		$25.01	$31.26	$57.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $20.84	Professional		$20.84	$20.84	$20.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $129.99 / $235.49	Facility		$49.39	$129.99	$235.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.92 / $58.35	Professional		$5.00	$22.92	$58.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $62.52 / $207.70	Facility		$41.68	$62.52	$207.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $37.51 / $52.10	Professional		$29.18	$37.51	$52.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $25.01 / $41.68	Facility		$25.01	$25.01	$41.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $91.02 / $200.77	Facility		$40.64	$91.02	$200.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $26.77 / $77.45	Professional		$21.17	$26.77	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $197.98 / $197.98	Facility		$73.45	$197.98	$197.98
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 $32.51 / $54.18 / $87.97	Facility		$32.51	$54.18	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $41.68 / $52.10	Professional		$41.68	$41.68	$52.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $57.94 / $149.16	Facility		$33.76	$57.94	$149.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $39.60 / $73.65	Professional		$21.46	$39.60	$73.65
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $20.60 / $29.61	Professional		$17.51	$20.60	$29.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.59 / $41.68	Professional		$17.32	$21.59	$41.68