Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $242.46 / $738.00	Facility		$62.12	$242.46	$738.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $15.22 / $50.84	Professional		$10.90	$15.22	$50.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Professional		$13.44	$13.44	$13.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $148.15 / $294.49	Facility		$60.47	$148.15	$294.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $11.24 / $22.16	Professional		$9.96	$11.24	$22.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $71.56 / $148.71	Facility		$21.50	$71.56	$148.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $19.82 / $24.86	Professional		$13.44	$19.82	$24.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Facility		$38.22	$38.22	$38.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $62.84 / $115.97	Facility		$24.24	$62.84	$115.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $20.01 / $35.42	Professional		$13.71	$20.01	$35.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $106.29 / $106.29	Facility		$30.75	$106.29	$106.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $19.59 / $33.58	Professional		$14.11	$19.59	$33.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $159.91 / $317.93	Facility		$26.10	$159.91	$317.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.60 / $44.00	Professional		$13.44	$17.60	$44.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $18.64 / $62.84	Facility		$6.00	$18.64	$62.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $24.18 / $38.13	Professional		$13.44	$24.18	$38.13
United Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $112.55 / $148.47	Facility		$108.25	$112.55	$148.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $22.88 / $30.21	Professional		$12.45	$22.88	$30.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $11.87 / $18.89	Professional		$11.87	$11.87	$18.89