Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $35.39 / $60.90	Facility		$33.25	$35.39	$60.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $34.54 / $46.12	Professional		$31.90	$34.54	$46.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $113.66 / $213.12	Facility		$46.13	$113.66	$213.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $31.59 / $40.32	Professional		$24.79	$31.59	$40.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $107.63 / $120.00	Facility		$71.31	$107.63	$120.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $130.80 / $130.80	Facility		$130.80	$130.80	$130.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $46.02 / $71.73	Professional		$34.18	$46.02	$71.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $477.89 / $505.63	Facility		$178.64	$477.89	$505.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $685.57 / $685.57 / $685.57	Professional		$685.57	$685.57	$685.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $38.61 / $54.61	Facility		$32.46	$38.61	$54.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $49.62 / $70.45	Professional		$35.68	$49.62	$70.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $38.59 / $53.70	Facility		$32.46	$38.59	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $47.08 / $75.03	Professional		$34.51	$47.08	$75.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $44.75 / $64.16	Professional		$33.50	$44.75	$64.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $38.43 / $53.12	Professional		$33.40	$38.43	$53.12