Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $28.84	Professional		$12.88	$16.98	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $26.92	Professional		$23.44	$25.70	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $22.39	Professional		$11.75	$15.14	$22.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $38.90	Professional		$19.95	$26.92	$38.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $18.20 / $25.70	Facility		$7.24	$18.20	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $40.74	Professional		$15.14	$28.84	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $223.87	Professional		$24.55	$33.88	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $33.88	Facility		$16.22	$23.44	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $25.70	Professional		$12.59	$15.85	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $33.88	Facility		$15.85	$23.44	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $39.81	Professional		$15.14	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $35.48	Professional		$17.38	$22.91	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $26.92	Professional		$25.70	$25.70	$26.92