Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $77.62	Professional		$38.90	$57.54	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $104.71	Professional		$69.18	$83.18	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $81.28	Professional		$37.15	$45.71	$81.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $83.18	Facility		$58.88	$79.43	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $131.83	Professional		$58.88	$81.28	$131.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $691.83	Professional		$524.81	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.79 / $97.72	Facility		$51.29	$70.79	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $95.50	Professional		$38.02	$60.26	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $95.50	Facility		$48.98	$69.18	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $123.03	Professional		$57.54	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $114.82	Professional		$51.29	$70.79	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Professional		$83.18	$83.18	$87.10