Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $89.44 / $259.39	Facility		$16.87	$89.44	$259.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $11.05 / $19.28	Professional		$9.64	$11.05	$19.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $10.03	Professional		$10.03	$10.03	$10.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $49.50 / $84.21	Facility		$18.00	$49.50	$84.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.52 / $14.30	Professional		$5.00	$8.52	$14.30
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $24.11 / $71.81	Facility		$16.07	$24.11	$71.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.33 / $25.71	Professional		$11.25	$15.33	$25.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $15.75 / $16.07	Facility		$15.75	$15.75	$16.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $27.79 / $70.95	Facility		$11.23	$27.79	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $10.06 / $24.62	Professional		$7.77	$10.06	$24.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $76.33 / $76.33	Facility		$50.00	$76.33	$76.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $16.07 / $20.89	Facility		$11.70	$16.07	$20.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.07 / $16.07	Professional		$14.85	$16.07	$16.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $16.07 / $36.82	Facility		$11.70	$16.07	$36.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $12.37 / $17.32	Professional		$7.77	$12.37	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.04 / $12.57	Professional		$6.75	$7.04	$12.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $16.07	Professional		$6.43	$6.43	$16.07