Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $49.13 / $151.71	Facility		$3.84	$49.13	$151.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.80 / $5.12	Professional		$2.56	$3.80	$5.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.56 / $2.97	Professional		$2.04	$2.56	$2.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $13.49 / $25.53	Facility		$5.00	$13.49	$25.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $4.23 / $5.50	Professional		$2.25	$4.23	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.41 / $25.57	Facility		$4.26	$6.41	$25.57
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.17 / $6.41	Professional		$2.99	$4.17	$6.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $9.34 / $19.64	Facility		$2.98	$9.34	$19.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.12 / $7.11	Professional		$2.25	$3.12	$7.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.26 / $6.47	Facility		$3.42	$4.26	$6.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.26 / $5.92	Professional		$3.84	$4.26	$5.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $4.26 / $10.63	Facility		$3.42	$4.26	$10.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.28 / $6.11	Professional		$2.25	$3.28	$6.11
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.49 / $4.70	Professional		$2.56	$3.49	$4.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.11 / $4.26	Professional		$1.67	$2.11	$4.26