Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $46.77	Professional		$19.95	$28.84	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $50.12	Professional		$31.62	$43.65	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $43.65	Facility		$36.31	$36.31	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $45.71	Professional		$18.62	$28.18	$45.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $63.10	Professional		$38.02	$45.71	$63.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $42.66	Facility		$29.51	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $70.79	Professional		$29.51	$41.69	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $371.54	Professional		$281.84	$371.54	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $53.70	Facility		$26.92	$38.02	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $51.29	Professional		$16.60	$30.20	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $36.31	Professional		$28.84	$32.36	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.15 / $52.48	Facility		$25.70	$37.15	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $64.57	Professional		$29.51	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $61.66	Professional		$27.54	$37.15	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Professional		$44.67	$44.67	$46.77